| LCA CASE NUMBER | I-200-22116-109063 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2022-04-26 |
| DECISION DATE | 2022-05-03 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Orthopedic Surgeon |
| SOC CODE | 29-1069.08 |
| SOC TITLE | Physical Medicine and Rehabilitation Physicians |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2022-06-01 |
| END DATE | 2025-05-30 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 0 |
| CONTINUED EMPLOYMENT | 1 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 0 |
| AMENDED PETITION | 0 |
| LCA CASE EMPLOYER NAME | Sky Lakes Medical Center, Inc. |
| EMPLOYER ADDRESS1 | 2865 Daggett Ave. |
| EMPLOYER CITY | Klamath Falls |
| EMPLOYER STATE | OR |
| EMPLOYER POSTAL CODE | 97601 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 15418826311 |
| NAICS CODE | 622110 |
| EMPLOYER POC LAST NAME | Kennon |
| EMPLOYER POC FIRST NAME | Grant |
| EMPLOYER POC MIDDLE NAME | D. |
| EMPLOYER POC JOB TITLE | Vice President & General Counsel |
| EMPLOYER POC ADDRESS1 | 2865 Daggett Ave. |
| EMPLOYER POC CITY | Klamath Falls |
| EMPLOYER POC STATE | OR |
| EMPLOYER POC POSTAL CODE | 97601 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 15412746153 |
| EMPLOYER POC EMAIL | [email protected] |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Bae |
| AGENT ATTORNEY FIRST NAME | Davis |
| AGENT ATTORNEY MIDDLE NAME | C. |
| AGENT ATTORNEY ADDRESS1 | 1201 Third Avenue |
| AGENT ATTORNEY ADDRESS2 | Suite 2750 |
| AGENT ATTORNEY CITY | Seattle |
| AGENT ATTORNEY STATE | WA |
| AGENT ATTORNEY POSTAL CODE | 98101 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 12066822308 |
| AGENT ATTORNEY EMAIL ADDRESS | [email protected] |
| LAWFIRM NAME BUSINESS NAME | Fisher & Phillips LLP |
| STATE OF HIGHEST COURT | WA |
| NAME OF HIGHEST STATE COURT | State Supreme Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 2200 Bryant Williams Drive |
| WORKSITE ADDRESS2 | Unit 1 |
| LCA CASE WORKLOC1 CITY | Klamath Falls, |
| WORKSITE COUNTY | KLAMATH |
| LCA CASE WORKLOC1 STATE | OR |
| WORKSITE POSTAL CODE | 97601 |
| LCA CASE WAGE RATE FROM | 350000 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 284294 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | IV |
| PW OES YEAR | 7/1/2021 - 6/30/2022 |
| TOTAL WORKSITE LOCATIONS | 1 |
| AGREE TO LC STATEMENT | True |
| H1B DEPENDENT | False |
| WILLFUL VIOLATOR | False |
| PUBLIC DISCLOSURE | Disclose Business |
| PREPARER LAST NAME | Zhou |
| PREPARER FIRST NAME | Jae |
| PREPARER BUSINESS NAME | Fisher & Phillips LLP |
| PREPARER EMAIL | [email protected] |
