| LCA CASE NUMBER | I-200-20083-427856 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2020-03-23 |
| DECISION DATE | 2020-03-30 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Pediatrician |
| SOC CODE | 29-1065.00 |
| SOC TITLE | Pediatricians, General |
| FULL TIME POSITION | Y |
| LCA CASE EMPLOYMENT START DATE | 2020-07-30 |
| END DATE | 2023-07-29 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 1 |
| CONTINUED EMPLOYMENT | 0 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 0 |
| AMENDED PETITION | 0 |
| LCA CASE EMPLOYER NAME | Willamette Family Medical Center |
| EMPLOYER ADDRESS1 | 435 Lancaster Dr NE |
| EMPLOYER CITY | Salem |
| EMPLOYER STATE | OR |
| EMPLOYER POSTAL CODE | 97301 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 15035856388 |
| NAICS CODE | 621111 |
| EMPLOYER POC LAST NAME | Steele |
| EMPLOYER POC FIRST NAME | Robert |
| EMPLOYER POC MIDDLE NAME | L |
| EMPLOYER POC JOB TITLE | M.D., CEO |
| EMPLOYER POC ADDRESS1 | 435 Lancaster Dr NE |
| EMPLOYER POC CITY | Salem |
| EMPLOYER POC STATE | OR |
| EMPLOYER POC POSTAL CODE | 97301 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 15035856388 |
| EMPLOYER POC EMAIL | [email protected] |
| AGENT REPRESENTING EMPLOYER | Y |
| AGENT ATTORNEY LAST NAME | Huang |
| AGENT ATTORNEY FIRST NAME | Jing |
| AGENT ATTORNEY ADDRESS1 | PO Box 1317 |
| AGENT ATTORNEY CITY | Carrboro |
| AGENT ATTORNEY STATE | NC |
| AGENT ATTORNEY POSTAL CODE | 27510 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 19196192119.0 |
| AGENT ATTORNEY EMAIL ADDRESS | [email protected] |
| LAWFIRM NAME BUSINESS NAME | Sivaraman Immigration Law |
| STATE OF HIGHEST COURT | NY |
| NAME OF HIGHEST STATE COURT | Supreme Court |
| WORKSITE WORKERS | 1.0 |
| SECONDARY ENTITY | N |
| WORKSITE ADDRESS1 | 435 Lancaster Dr NE |
| LCA CASE WORKLOC1 CITY | Salem |
| WORKSITE COUNTY | MARION |
| LCA CASE WORKLOC1 STATE | OR |
| WORKSITE POSTAL CODE | 97301 |
| LCA CASE WAGE RATE FROM | 154440.0 |
| LCA CASE WAGE RATE TO | 165000.0 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 154440.0 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | II |
| PW OES YEAR | 7/1/2019 - 6/30/2020 |
| TOTAL WORKSITE LOCATIONS | 2.0 |
| AGREE TO LC STATEMENT | Y |
| H-1B DEPENDENT | N |
| WILLFUL VIOLATOR | N |
| PUBLIC DISCLOSURE | Disclose Business |
| PREPARER LAST NAME | Sivaraman |
| PREPARER FIRST NAME | Heather |
| PREPARER BUSINESS NAME | Sivaraman Immigration Law |
| PREPARER EMAIL | [email protected] |
