All Details of Green Card Application:

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Case Number: A-19165-18617

Fiscal year: 2019

Fiscal Year

2019

Case Number

A-19165-18617

Case Status

Certified

Received Date

2019-06-21

Decision Date

2019-08-07

Refile

Original File Date

2019-01-01 14:23:31

Previous SWA Case Number State

Schedule A Sheepherder

N

Employer Name

NORTH BEND MEDICAL CENTER, INC

Employer Name Slug

north-bend-medical-center-inc

Employer Address 1

1900 WOODLAND DRIVE

Employer Address 2

Employer City

COOS BAY

Employer City Slug

coos-bay

Employer State

OREGON

Employer State Slug

oregon

Employer Country

UNITED STATES OF AMERICA

Employer Postal Code

97420

Employer Phone

541-267-5151

Employer Number of Employees

420

Employer Year Commenced Business

1952

NAICS Code

FW Ownership Interest

N

Employer Contact Name

Employer Contact Address 1

Employer Contact Address 2

Employer Contact City

Employer Contact State/Province

Employer Contact Country

Employer Contact Postal Code

Employer Contact Phone

Employer Contact Email

Agent Attorney Name

Agent Attorney Firm Name

Ellis Porter, PLC

Agent Attorney Phone

Agent Attorney Address 1

Agent Attorney Address 2

Agent Attorney City

Troy

Agent Attorney State/Province

MICHIGAN

Agent Attorney Country

Agent Attorney Postal Code

Agent Attorney Email

PW Track Number

P10018344797015

PW SOC Code

29-1062

PW SOC Title

Family and General Practitioners

PW Skill Level

N/A

PW Wage

208.00

PW Unit of Pay

Year

PW Wage Source

OES

PW Determination Date

0

PW Expiration Date

0

Wage Offer From

230000.00

Wage Offer To

0.00

Average Salary

230000.00

Wage Unit of Pay

Year

Worksite Address 1

Worksite Address 2

Worksite City

Coos Bay

Worksite City Slug

coos-bay

Worksite State

OREGON

Worksite Postal Code

97420

Job Title

Family Practice Physician

Job Title Slug

family-practice-physician

Minimum Education

Other

Major Field of Study

Medicine

Required Training

N

Required Experience

Required Experience Months

Accept Alternative Field of Study

Y

Accept Alternative Major Field of Study

or related

Accept Alternative Combination

Accept Alternative Combination Education

Accept Alternative Combination Education Years

Accept Foreign Education

Y

Accept Alternative Occupation

N

Accept Alternative Occupation Months

Accept Alternative Job Title

Job Opportunity Requirements Normal

Y

Foreign Language Required

N

Specific Skills

Combination Occupation

N

Offered to Applicant Foreign Worker

Y

Foreign Worker Live on Premises

N

Foreign Worker Live in Domestic Service

N

Foreign Worker Live in Domestic Service Count

Professional Occupation

Y

Application for College/University Teacher

N

SWA Job Order Start Date

0

SWA Job Order End Date

0

Sunday Edition Newspaper

Y

First Newspaper Name

The Oregonian

First Advertisement Start Date

0

Second Newspaper Ad Name

The Oregonian

Second Advertisement Type

Newspaper

Second Ad Start Date

0

Employer Website From Date

0

Employer Website To Date

0

Professional Organization Ad From Date

2019-01-01 14:23:31

Professional Organization Advertisement To Date

2019-01-01 14:23:31

Job Search Website From Date

0

Job Search Website To Date

0

Employee Referral Program From Date

2019-01-01 14:23:31

Employee Referral Program To Date

2019-01-01 14:23:31

Local Ethnic Paper From Date

2019-01-01 14:23:31

Local Ethnic Paper To Date

0

Radio/TV Ad From Date

2019-01-01 14:23:31

Radio/TV Ad To Date

2019-01-01 14:23:31

Employer Received Payment

N

Posted Notice at Worksite

Y

Layoff in Past Six Months

N

Country of Citizenship

CANADA

Foreign Worker Birth Country

COLOMBIA

Class of Admission

H-1B

Foreign Worker Education

Other

Foreign Worker Information: Major

MEDICINE

Foreign Worker Years of Education Completed

1995

Foreign Worker Institution of Education

UNIVERSIDAD DEL VALLE

Foreign Worker Education Institution Address 1

Foreign Worker Education Institution Address 2

Foreign Worker Education Institution City

Foreign Worker Education Institution State/Province

Foreign Worker Education Institution Country

Foreign Worker Education Institution Postal Code

Foreign Worker Experience with Employer

Foreign Worker Employer Pays for Education

Foreign Worker Currently Employed

Employer Completed Application

Preparer Name

Preparer Title

Attorney

Preparer Email

Employer Information Declaration Name

Employer Information Declaration Title

Executive Secretary/Credentialing Coordinator