| CASE NUMBER | I-200-24317-468870 |
| CASE STATUS | Certified |
| RECEIVED DATE | 11/12/2024 |
| DECISION DATE | 11/19/2024 |
| ORIGINAL CERT DATE | |
| VISA CLASS | H-1B |
| JOB TITLE | Thoracic Surgeon |
| SOC CODE | 29-1249.00 |
| SOC TITLE | Surgeons, All Other |
| FULL TIME POSITION | Y |
| BEGIN DATE | 1/17/2025 |
| END DATE | 1/16/2028 |
| 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 | Providence Health & Services - Oregon |
| TRADE NAME DBA | |
| EMPLOYER ADDRESS1 | 1801 Lind Ave SW Morin Bldg. |
| EMPLOYER ADDRESS2 | 1st Floor |
| EMPLOYER CITY | Renton |
| EMPLOYER STATE | WA |
| EMPLOYER POSTAL CODE | 98057 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PROVINCE | |
| EMPLOYER PHONE | 14256156359 |
| EMPLOYER PHONE EXT | |
| NAICS CODE | 6221 |
| EMPLOYER POC LAST NAME | Jeanes |
| EMPLOYER POC FIRST NAME | Maria |
| EMPLOYER POC MIDDLE NAME | Salazar |
| EMPLOYER POC JOB TITLE | In-House Immigration Counsel |
| EMPLOYER POC ADDRESS1 | 1801 Lind Ave SW Morin Bldg. |
| EMPLOYER POC ADDRESS2 | 1st Floor |
| EMPLOYER POC CITY | Renton |
| EMPLOYER POC STATE | WA |
| EMPLOYER POC POSTAL CODE | 98057 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PROVINCE | |
| EMPLOYER POC PHONE | 14256156359 |
| EMPLOYER POC PHONE EXT | |
| EMPLOYER POC EMAIL | maria.jeanes@providence.org |
| AGENT REPRESENTING EMPLOYER | Yes |
| AGENT ATTORNEY LAST NAME | Reyes |
| AGENT ATTORNEY FIRST NAME | Adriana |
| AGENT ATTORNEY MIDDLE NAME | |
| AGENT ATTORNEY ADDRESS1 | 2801 Via Fortuna |
| AGENT ATTORNEY ADDRESS2 | Ste 650 |
| AGENT ATTORNEY CITY | Austin |
| AGENT ATTORNEY STATE | TX |
| AGENT ATTORNEY POSTAL CODE | 78746 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PROVINCE | |
| AGENT ATTORNEY PHONE | 15124826830 |
| AGENT ATTORNEY PHONE EXT | |
| AGENT ATTORNEY EMAIL ADDRESS | teresa.sims@klgates.com |
| LAWFIRM NAME BUSINESS NAME | K&L Gates LLP |
| STATE OF HIGHEST COURT | TX |
| NAME OF HIGHEST STATE COURT | Supreme Court of Texas |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | No |
| SECONDARY ENTITY BUSINESS NAME | |
| WORKSITE ADDRESS1 | 9205 SW Barnes Rd |
| WORKSITE ADDRESS2 | |
| WORKSITE CITY | Portland |
| WORKSITE COUNTY | WASHINGTON |
| WORKSITE STATE | OR |
| WORKSITE POSTAL CODE | 97225 |
| WAGE RATE OF PAY FROM | $208,000.00 |
| WAGE RATE OF PAY FROM CLEANED | |
| WAGE RATE OF PAY TO | $360,000.00 |
| WAGE UNIT OF PAY | Year |
| PREVAILING WAGE | $190,549.00 |
| 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 | 1 |
| 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 | Sims |
| PREPARER FIRST NAME | Teresa |
| PREPARER MIDDLE INITIAL | |
| PREPARER BUSINESS NAME | K&L Gates LLP |
| PREPARER EMAIL | teresa.sims@klgates.com |
| BEGIN DATE CONVERTED | 2025-01-17 |
