| CASE NUMBER | I-200-25007-600954 |
| CASE STATUS | Certified |
| RECEIVED DATE | 1/7/2025 |
| DECISION DATE | 1/15/2025 |
| ORIGINAL CERT DATE | |
| VISA CLASS | H-1B |
| JOB TITLE | Assistant Professor |
| SOC CODE | 29-1229.00 |
| SOC TITLE | Physicians, All Other |
| FULL TIME POSITION | Y |
| BEGIN DATE | 2/24/2025 |
| END DATE | 2/23/2028 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 1 |
| CONTINUED EMPLOYMENT | 0 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 0 |
| AMENDED PETITION | 0 |
| EMPLOYER NAME | Oregon Health & Science University |
| TRADE NAME DBA | |
| EMPLOYER ADDRESS1 | 3181 SW Sam Jackson Park Road |
| EMPLOYER ADDRESS2 | |
| EMPLOYER CITY | Portland |
| EMPLOYER STATE | OR |
| EMPLOYER POSTAL CODE | 97239 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PROVINCE | |
| EMPLOYER PHONE | 15034182632 |
| EMPLOYER PHONE EXT | |
| NAICS CODE | 611310 |
| EMPLOYER POC LAST NAME | Roache Jones |
| EMPLOYER POC FIRST NAME | Alison |
| EMPLOYER POC MIDDLE NAME | |
| EMPLOYER POC JOB TITLE | Director- Office of Immigration Services |
| EMPLOYER POC ADDRESS1 | 3181 SW Sam Jackson Park Road |
| EMPLOYER POC ADDRESS2 | |
| EMPLOYER POC CITY | Portland |
| EMPLOYER POC STATE | OR |
| EMPLOYER POC POSTAL CODE | 97239 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PROVINCE | |
| EMPLOYER POC PHONE | 15034182632 |
| EMPLOYER POC PHONE EXT | |
| EMPLOYER POC EMAIL | roacheja@ohsu.edu |
| AGENT REPRESENTING EMPLOYER | Yes |
| AGENT ATTORNEY LAST NAME | Butte |
| AGENT ATTORNEY FIRST NAME | Dagmar |
| AGENT ATTORNEY MIDDLE NAME | |
| AGENT ATTORNEY ADDRESS1 | 1200 NW Naito Parkway |
| AGENT ATTORNEY ADDRESS2 | Suite 200 |
| AGENT ATTORNEY CITY | Portland |
| AGENT ATTORNEY STATE | OR |
| AGENT ATTORNEY POSTAL CODE | 97209 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PROVINCE | |
| AGENT ATTORNEY PHONE | 15032411320 |
| AGENT ATTORNEY PHONE EXT | |
| AGENT ATTORNEY EMAIL ADDRESS | db@pbl.net |
| LAWFIRM NAME BUSINESS NAME | Parker, Butte, and Lane P.C. |
| 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 | 3181 SW Sam Jackson Park Road |
| WORKSITE ADDRESS2 | |
| WORKSITE CITY | Portland |
| WORKSITE COUNTY | MULTNOMAH |
| WORKSITE STATE | OR |
| WORKSITE POSTAL CODE | 97239 |
| WAGE RATE OF PAY FROM | $235,414.00 |
| WAGE RATE OF PAY FROM CLEANED | |
| WAGE RATE OF PAY TO | $283,737.00 |
| WAGE UNIT OF PAY | Year |
| PREVAILING WAGE | $235,414.00 |
| PW UNIT OF PAY | Year |
| PW TRACKING NUMBER | |
| PW WAGE LEVEL | IV |
| PW OES YEAR | 7/1/2024 - 6/30/2025 |
| 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 and Employment |
| PREPARER LAST NAME | Butte |
| PREPARER FIRST NAME | Dagmar |
| PREPARER MIDDLE INITIAL | |
| PREPARER BUSINESS NAME | Parker, Butte, and Lane P.C. |
| PREPARER EMAIL | db@pbl.net |
| BEGIN DATE CONVERTED | 2025-02-24 |
