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Case Number: A-22021-01317

Fiscal year: 2022

Fiscal Year

2022

Case Number

A-22021-01317

Case Status

Certified

Received Date

2022-01-24

Decision Date

2022-09-22

Refile

N

Original File Date

2022-01-01 06:39:54

Previous SWA Case Number State

Schedule A Sheepherder

N

Employer Name

CENTENNIAL MEDICAL GROUP, INC.

Employer Name Slug

centennial-medical-group-inc

Employer Address 1

201 MEDICAL LOOP

Employer Address 2

SUITE 190

Employer City

ROSEBURG

Employer City Slug

roseburg

Employer State

OREGON

Employer State Slug

oregon

Employer Country

UNITED STATES OF AMERICA

Employer Postal Code

97471

Employer Phone

541-677-3545

Employer Number of Employees

161

Employer Year Commenced Business

2009

NAICS Code

62111

FW Ownership Interest

N

Employer Contact Name

Sandy Brown

Employer Contact Address 1

201 Medical Loop

Employer Contact Address 2

Suite 190

Employer Contact City

Roseburg

Employer Contact State/Province

OREGON

Employer Contact Country

UNITED STATES OF AMERICA

Employer Contact Postal Code

97471

Employer Contact Phone

541-677-3545

Employer Contact Email

sandrabrown@chiwest.com

Agent Attorney Name

JEFFREY S BELL

Agent Attorney Firm Name

POLSINELLI, PC

Agent Attorney Phone

(816) 360-4264

Agent Attorney Address 1

900 W 48TH PL

Agent Attorney Address 2

STE. 900

Agent Attorney City

KANSAS CITY

Agent Attorney State/Province

MISSOURI

Agent Attorney Country

UNITED STATES OF AMERICA

Agent Attorney Postal Code

64112

Agent Attorney Email

JBELL@POLSINELLI.COM

PW Track Number

P10021209488454

PW SOC Code

29-1069

PW SOC Title

PHYSICIANS AND SURGEONS, ALL OTHER

PW Skill Level

N/A

PW Wage

208000.00

PW Unit of Pay

Year

PW Wage Source

OES

PW Determination Date

2022-01-18

PW Expiration Date

2022-06-30

Wage Offer From

220000.00

Wage Offer To

390000.00

Average Salary

305000.00

Wage Unit of Pay

Year

Worksite Address 1

2460 STEWART PARKWAY

Worksite Address 2

STE. 103

Worksite City

ROSEBURG

Worksite City Slug

roseburg

Worksite State

OREGON

Worksite Postal Code

97471

Job Title

PHYSICIAN, PULMONOLOGY/CRITICAL CARE

Job Title Slug

physician-pulmonologycritical-care

Minimum Education

Other

Major Field of Study

MEDICINE

Required Training

N

Required Experience

N

Required Experience Months

Accept Alternative Field of Study

N

Accept Alternative Major Field of Study

Accept Alternative Combination

N

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

OREGON MEDICAL LICENSE AND COMPLETION OF PULMONARY CRITICAL CARE FELLOWSHIP.

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

2021-08-31

SWA Job Order End Date

2021-09-30

Sunday Edition Newspaper

Y

First Newspaper Name

THE NEWS REVIEW

First Advertisement Start Date

2021-09-12

Second Newspaper Ad Name

THE NEWS REVIEW

Second Advertisement Type

Newspaper

Second Ad Start Date

2021-09-19

Employer Website From Date

2021-08-31

Employer Website To Date

2021-09-30

Professional Organization Ad From Date

2022-01-01 06:39:54

Professional Organization Advertisement To Date

2022-01-01 06:39:54

Job Search Website From Date

2021-09-12

Job Search Website To Date

2021-09-26

Employee Referral Program From Date

2022-01-01 06:39:54

Employee Referral Program To Date

2022-01-01 06:39:54

Local Ethnic Paper From Date

2021-09-05

Local Ethnic Paper To Date

2021-09-05

Radio/TV Ad From Date

2022-01-01 06:39:54

Radio/TV Ad To Date

2022-01-01 06:39:54

Employer Received Payment

N

Posted Notice at Worksite

Y

Layoff in Past Six Months

N

Country of Citizenship

COLOMBIA

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

2007

Foreign Worker Institution of Education

UNIVERSIDAD IBEROAMERICANA UNIBE

Foreign Worker Education Institution Address 1

AV, FRANCIA # 129

Foreign Worker Education Institution Address 2

Foreign Worker Education Institution City

SANTO DOMINGO

Foreign Worker Education Institution State/Province

DISTRITO NACIONAL SANTO DOMINGO

Foreign Worker Education Institution Country

DOMINICAN REPUBLIC

Foreign Worker Education Institution Postal Code

10204

Foreign Worker Experience with Employer

N/A

Foreign Worker Employer Pays for Education

N

Foreign Worker Currently Employed

Y

Employer Completed Application

N

Preparer Name

JEFFREY S BELL

Preparer Title

SHAREHOLDER

Preparer Email

JBELL@POLSINELLI.COM

Employer Information Declaration Name

ARIC GROSHONG

Employer Information Declaration Title

PHYSICIAN DIRECTOR