| LCA CASE NUMBER | I-200-23103-930827 |
| STATUS | Certified - Withdrawn |
| LCA CASE SUBMIT | 2023-04-13 |
| DECISION DATE | 2023-09-21 |
| ORIGINAL CERT DATE | 2023-04-20 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Family Medicine Physician |
| SOC CODE | 29-1215.00 |
| SOC TITLE | Family Medicine Physicians |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2023-09-14 |
| END DATE | 2026-09-13 |
| 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 | The Doctors Clinic, A Professional Corporation |
| EMPLOYER ADDRESS1 | 9621 Ridgetop Boulevard NW |
| EMPLOYER CITY | Silverdale |
| EMPLOYER STATE | WA |
| EMPLOYER POSTAL CODE | 98383 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 13607823600 |
| NAICS CODE | 621111 |
| EMPLOYER POC LAST NAME | Gallington |
| EMPLOYER POC FIRST NAME | Katherine |
| EMPLOYER POC JOB TITLE | Director of Human Resources |
| EMPLOYER POC ADDRESS1 | 9621 Ridgetop Boulevard NW |
| EMPLOYER POC CITY | Silverdale |
| EMPLOYER POC STATE | WA |
| EMPLOYER POC POSTAL CODE | 98383 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 13607823604 |
| EMPLOYER POC EMAIL | [email protected] |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Peng |
| AGENT ATTORNEY FIRST NAME | Leo |
| AGENT ATTORNEY ADDRESS1 | 1111 3rd Ave |
| AGENT ATTORNEY ADDRESS2 | Suite 3000 |
| AGENT ATTORNEY CITY | Seattle |
| AGENT ATTORNEY STATE | WA |
| AGENT ATTORNEY POSTAL CODE | 98101 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 12064474400 |
| AGENT ATTORNEY EMAIL ADDRESS | [email protected] |
| LAWFIRM NAME BUSINESS NAME | Foster Garvey PC |
| STATE OF HIGHEST COURT | WA |
| NAME OF HIGHEST STATE COURT | Supreme |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 19245 7th Ave NE |
| LCA CASE WORKLOC1 CITY | Poulsbo |
| WORKSITE COUNTY | KITSAP |
| LCA CASE WORKLOC1 STATE | WA |
| WORKSITE POSTAL CODE | 98370 |
| LCA CASE WAGE RATE FROM | 235000 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 193523 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | II |
| PW OES YEAR | 7/1/2022 - 6/30/2023 |
| TOTAL WORKSITE LOCATIONS | 1 |
| AGREE TO LC STATEMENT | True |
| H 1B DEPENDENT | False |
| WILLFUL VIOLATOR | False |
| PUBLIC DISCLOSURE | Disclose Business |
| PREPARER LAST NAME | Borroff |
| PREPARER FIRST NAME | Silviya |
| PREPARER MIDDLE INITIAL | D. |
| PREPARER BUSINESS NAME | Foster Garvey PC |
| PREPARER EMAIL | [email protected] |
