| CASE NUMBER | I-200-24057-749116 |
| CASE STATUS | Certified |
| RECEIVED DATE | 2/26/2024 |
| DECISION DATE | 3/4/2024 |
| ORIGINAL CERT DATE | |
| VISA CLASS | H-1B |
| JOB TITLE | Neurologist Physician |
| SOC CODE | 29-1229.00 |
| SOC TITLE | Physicians, All Other |
| FULL TIME POSITION | Y |
| BEGIN DATE | 7/5/2024 |
| END DATE | 7/4/2027 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 0 |
| CONTINUED EMPLOYMENT | 1 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 0 |
| AMENDED PETITION | 0 |
| EMPLOYER NAME | Asante Physician Partners |
| TRADE NAME DBA | |
| EMPLOYER ADDRESS1 | 2620 EAST BARNETT ROAD |
| EMPLOYER ADDRESS2 | SUITE H |
| EMPLOYER CITY | Medford |
| EMPLOYER STATE | OR |
| EMPLOYER POSTAL CODE | 97504 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PROVINCE | OREGON |
| EMPLOYER PHONE | 15417892282 |
| EMPLOYER PHONE EXT | |
| NAICS CODE | 622110 |
| EMPLOYER POC LAST NAME | SIMONSON |
| EMPLOYER POC FIRST NAME | Angie |
| EMPLOYER POC MIDDLE NAME | |
| EMPLOYER POC JOB TITLE | Sr. VP of Operations, Asante |
| EMPLOYER POC ADDRESS1 | 2620 East Barnett Road |
| EMPLOYER POC ADDRESS2 | Suite H |
| EMPLOYER POC CITY | Medford |
| EMPLOYER POC STATE | OR |
| EMPLOYER POC POSTAL CODE | 97504 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PROVINCE | |
| EMPLOYER POC PHONE | 15417894133 |
| EMPLOYER POC PHONE EXT | |
| EMPLOYER POC EMAIL | Angie.Simonson@asante.org |
| AGENT REPRESENTING EMPLOYER | Yes |
| AGENT ATTORNEY LAST NAME | Sarparast |
| AGENT ATTORNEY FIRST NAME | Yaschar |
| AGENT ATTORNEY MIDDLE NAME | |
| AGENT ATTORNEY ADDRESS1 | 16869 SW 65th Ave, Suite #155 |
| AGENT ATTORNEY ADDRESS2 | |
| AGENT ATTORNEY CITY | Lake Oswego |
| AGENT ATTORNEY STATE | OR |
| AGENT ATTORNEY POSTAL CODE | 97035 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PROVINCE | |
| AGENT ATTORNEY PHONE | 15039222262 |
| AGENT ATTORNEY PHONE EXT | |
| AGENT ATTORNEY EMAIL ADDRESS | ys@sarpa-law.com |
| LAWFIRM NAME BUSINESS NAME | SARPA LAW |
| 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 | Asante Physician Partners Neurology |
| WORKSITE ADDRESS2 | 2900 State Street |
| WORKSITE CITY | Medford |
| WORKSITE COUNTY | JACKSON |
| WORKSITE STATE | OR |
| WORKSITE POSTAL CODE | 97504 |
| WAGE RATE OF PAY FROM | 240000 |
| WAGE RATE OF PAY FROM CLEANED | |
| WAGE RATE OF PAY TO | |
| WAGE UNIT OF PAY | Year |
| PREVAILING WAGE | $239,200.00 |
| PW UNIT OF PAY | Year |
| PW TRACKING NUMBER | |
| PW WAGE LEVEL | N/A |
| PW OES YEAR | 7/1/2023 - 6/30/2024 |
| PW OTHER SOURCE | |
| PW OTHER YEAR | |
| PW SURVEY PUBLISHER | |
| PW SURVEY NAME | |
| TOTAL WORKSITE LOCATIONS | 4 |
| 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 | Zhang |
| PREPARER FIRST NAME | Claudia |
| PREPARER MIDDLE INITIAL | |
| PREPARER BUSINESS NAME | Sarpa Law |
| PREPARER EMAIL | cz@sarpa-law.com |
| BEGIN DATE CONVERTED | 2024-05-07 |
