Fiscal Year

2016

Case Number

A-15191-96791

Case Status

Certified-Expired

Received Date

2015-07-15

Decision Date

2016-01-15

Refile

Original File Date

2016-01-01 03:31:54

Previous SWA Case Number State

Schedule A Sheepherder

N

Employer Name

PROVIDENCE HEALTH & SERVICES - WASHINGTON

Employer Name Slug

providence-health-services-washington

Employer Address 1

1801 LIND AVE SW

Employer Address 2

Employer City

RENTON

Employer City Slug

renton

Employer State

WA

Employer State Slug

wa

Employer Country

UNITED STATES OF AMERICA

Employer Postal Code

98057

Employer Phone

425-525-3355

Employer Number of Employees

73018

Employer Year Commenced Business

1856

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

Cascadia Cross-Border Law

Agent Attorney Phone

Agent Attorney Address 1

Agent Attorney Address 2

Agent Attorney City

Bellingham

Agent Attorney State/Province

WA

Agent Attorney Country

Agent Attorney Postal Code

Agent Attorney Email

PW Track Number

P10015022705825

PW SOC Code

29-1069

PW SOC Title

Physicians and Surgeons, All Other

PW Skill Level

Level III

PW Wage

187199.00

PW Unit of Pay

Year

PW Wage Source

OES

PW Determination Date

2015-03-13

PW Expiration Date

2015-06-30

Wage Offer From

187199.00

Wage Offer To

0.00

Average Salary

187199.00

Wage Unit of Pay

Year

Worksite Address 1

Worksite Address 2

Worksite City

Seattle

Worksite City Slug

seattle

Worksite State

WA

Worksite Postal Code

98106

Job Title

Primary Care Physician

Job Title Slug

primary-care-physician

Minimum Education

Other

Major Field of Study

Medicine

Required Training

Y

Required Experience

Required Experience Months

12

Accept Alternative Field of Study

N

Accept Alternative Major Field of Study

Accept Alternative Combination

Accept Alternative Combination Education

N

Accept Alternative Combination Education Years

Accept Foreign Education

Y

Accept Alternative Occupation

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

2015-04-03

SWA Job Order End Date

2015-05-04

Sunday Edition Newspaper

Y

First Newspaper Name

The Seattle Times

First Advertisement Start Date

2015-04-19

Second Newspaper Ad Name

The Seattle Times

Second Advertisement Type

Y

Second Ad Start Date

2015-04-26

Employer Website From Date

2015-04-03

Employer Website To Date

2015-05-04

Professional Organization Ad From Date

2015-04-03

Professional Organization Advertisement To Date

2015-05-04

Job Search Website From Date

2015-04-19

Job Search Website To Date

2015-05-02

Employee Referral Program From Date

2016-01-01 03:31:54

Employee Referral Program To Date

2016-01-01 03:31:54

Local Ethnic Paper From Date

2016-01-01 03:31:54

Local Ethnic Paper To Date

2016-01-01 03:31:54

Radio/TV Ad From Date

2016-01-01 03:31:54

Radio/TV Ad To Date

2016-01-01 03:31:54

Employer Received Payment

N

Posted Notice at Worksite

Y

Layoff in Past Six Months

N

Country of Citizenship

INDONESIA

Foreign Worker Birth Country

INDONESIA

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

ATMAJAYA CATHOLIC UNIVERSITY, INDONESIA

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

Human Resources Consultant