All Details of Green Card Application:
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Case Number: A-22160-69437
Fiscal year: 2023
Fiscal Year
2023
Case Number
A-22160-69437
Case Status
Certified
Received Date
2022-06-20
Decision Date
2023-03-08
Refile
N
Original File Date
2023-01-01 08:02:29
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
P10021245561314
PW SOC Code
29-1065
PW SOC Title
PEDIATRICIANS, GENERAL
PW Skill Level
Level I
PW Wage
128960.00
PW Unit of Pay
Year
PW Wage Source
OES
PW Determination Date
2022-03-08
PW Expiration Date
2022-06-30
Wage Offer From
230000.00
Wage Offer To
0.00
Average Salary
230000.00
Wage Unit of Pay
Year
Worksite Address 1
2700 NW STEWART PARKWAY
Worksite Address 2
Worksite City
ROSEBURG
Worksite City Slug
roseburg
Worksite State
OREGON
Worksite Postal Code
97471
Job Title
PEDIATRIC HOSPITALIST
Job Title Slug
pediatric-hospitalist
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
STATE OF OREGON MEDICAL LICENSE AND COMPLETION OF A PEDIATRIC RESIDENCY.
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
2022-03-22
SWA Job Order End Date
2022-04-21
Sunday Edition Newspaper
Y
First Newspaper Name
THE NEWS REVIEW
First Advertisement Start Date
2022-03-13
Second Newspaper Ad Name
THE NEWS REVIEW
Second Advertisement Type
Newspaper
Second Ad Start Date
2022-03-20
Employer Website From Date
2022-03-22
Employer Website To Date
2022-04-21
Professional Organization Ad From Date
2023-01-01 08:02:29
Professional Organization Advertisement To Date
2023-01-01 08:02:29
Job Search Website From Date
2022-03-09
Job Search Website To Date
2022-03-23
Employee Referral Program From Date
2023-01-01 08:02:29
Employee Referral Program To Date
2023-01-01 08:02:29
Local Ethnic Paper From Date
2022-05-08
Local Ethnic Paper To Date
2022-05-08
Radio/TV Ad From Date
2023-01-01 08:02:29
Radio/TV Ad To Date
2023-01-01 08:02:29
Employer Received Payment
N
Posted Notice at Worksite
Y
Layoff in Past Six Months
N
Country of Citizenship
NIGERIA
Foreign Worker Birth Country
NIGERIA
Class of Admission
H-1B
Foreign Worker Education
Other
Foreign Worker Information: Major
MEDICINE
Foreign Worker Years of Education Completed
2013
Foreign Worker Institution of Education
AMBROSE ALLI UNIVESITY
Foreign Worker Education Institution Address 1
KM 70 BENIN AUCHI ROAD
Foreign Worker Education Institution Address 2
Foreign Worker Education Institution City
EKPOMA
Foreign Worker Education Institution State/Province
EDO
Foreign Worker Education Institution Country
NIGERIA
Foreign Worker Education Institution Postal Code
.
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