| CASE NUMBER | I-200-24137-006100 |
| CASE STATUS | Certified |
| RECEIVED DATE | 5/16/2024 |
| DECISION DATE | 5/23/2024 |
| ORIGINAL CERT DATE | |
| VISA CLASS | H-1B |
| JOB TITLE | Medical Director - Critical Care |
| SOC CODE | 29-1229.00 |
| SOC TITLE | Physicians, All Other |
| FULL TIME POSITION | Y |
| BEGIN DATE | 7/1/2024 |
| END DATE | 6/30/2027 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 0 |
| CONTINUED EMPLOYMENT | 0 |
| CHANGE PREVIOUS EMPLOYMENT | 1 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 0 |
| AMENDED PETITION | 0 |
| EMPLOYER NAME | Yakima Valley Memorial Hospital Association |
| TRADE NAME DBA | MultiCare Yakima Memorial |
| EMPLOYER ADDRESS1 | 2811 Tieton Drive |
| EMPLOYER ADDRESS2 | |
| EMPLOYER CITY | Yakima |
| EMPLOYER STATE | WA |
| EMPLOYER POSTAL CODE | 98902 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PROVINCE | |
| EMPLOYER PHONE | 15095758000 |
| EMPLOYER PHONE EXT | |
| NAICS CODE | 622110 |
| EMPLOYER POC LAST NAME | Ergeson |
| EMPLOYER POC FIRST NAME | Kelliann |
| EMPLOYER POC MIDDLE NAME | |
| EMPLOYER POC JOB TITLE | Provider Relations Liaison |
| EMPLOYER POC ADDRESS1 | 3800 Summitview Ave |
| EMPLOYER POC ADDRESS2 | |
| EMPLOYER POC CITY | Yakima |
| EMPLOYER POC STATE | WA |
| EMPLOYER POC POSTAL CODE | 98902 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PROVINCE | |
| EMPLOYER POC PHONE | 15092495519 |
| EMPLOYER POC PHONE EXT | |
| EMPLOYER POC EMAIL | Kelliann.Ergeson@multicare.org |
| AGENT REPRESENTING EMPLOYER | Yes |
| AGENT ATTORNEY LAST NAME | Parrilli |
| AGENT ATTORNEY FIRST NAME | Tifani |
| AGENT ATTORNEY MIDDLE NAME | M. |
| AGENT ATTORNEY ADDRESS1 | 610 SW BROADWAY |
| AGENT ATTORNEY ADDRESS2 | SUITE 505 |
| AGENT ATTORNEY CITY | PORTLAND |
| AGENT ATTORNEY STATE | OR |
| AGENT ATTORNEY POSTAL CODE | 97205 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PROVINCE | |
| AGENT ATTORNEY PHONE | 15035977192 |
| AGENT ATTORNEY PHONE EXT | |
| AGENT ATTORNEY EMAIL ADDRESS | notify.tifani@entrylaw.com |
| LAWFIRM NAME BUSINESS NAME | PARRILLI RENISON LLC |
| STATE OF HIGHEST COURT | OR |
| NAME OF HIGHEST STATE COURT | Oregon Supreme Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | No |
| SECONDARY ENTITY BUSINESS NAME | |
| WORKSITE ADDRESS1 | 2811 Tieton Drive |
| WORKSITE ADDRESS2 | |
| WORKSITE CITY | Yakima |
| WORKSITE COUNTY | YAKIMA |
| WORKSITE STATE | WA |
| WORKSITE POSTAL CODE | 98902 |
| WAGE RATE OF PAY FROM | 500300 |
| WAGE RATE OF PAY FROM CLEANED | |
| WAGE RATE OF PAY TO | |
| WAGE UNIT OF PAY | Year |
| PREVAILING WAGE | $257,629.00 |
| PW UNIT OF PAY | Year |
| PW TRACKING NUMBER | |
| PW WAGE LEVEL | IV |
| PW OES YEAR | 7/1/2023 - 6/30/2024 |
| PW OTHER SOURCE | |
| PW OTHER YEAR | |
| PW SURVEY PUBLISHER | |
| PW SURVEY NAME | |
| TOTAL WORKSITE LOCATIONS | 2 |
| AGREE TO LC STATEMENT | Yes |
| H 1B DEPENDENT | No |
| WILLFUL VIOLATOR | No |
| SUPPORT H1B | N/A |
| STATUTORY BASIS | |
| APPENDIX A ATTACHED | N/A |
| PUBLIC DISCLOSURE | Disclose Business |
| PREPARER LAST NAME | |
| PREPARER FIRST NAME | |
| PREPARER MIDDLE INITIAL | |
| PREPARER BUSINESS NAME | |
| PREPARER EMAIL | |
| BEGIN DATE CONVERTED | 2024-01-07 |
