Fiscal Year

2020

Case Number

A-19310-79834

Case Status

Certified

Received Date

2019-12-10

Decision Date

2020-05-15

Refile

N

Original File Date

2020-01-01 08:15:22

Previous SWA Case Number State

Schedule A Sheepherder

N

Employer Name

Peninsula Community Health Services

Employer Name Slug

peninsula-community-health-services

Employer Address 1

400 Warren Avenue, Suite 200

Employer Address 2

PO Box 960

Employer City

Bremerton

Employer City Slug

bremerton

Employer State

WASHINGTON

Employer State Slug

washington

Employer Country

UNITED STATES OF AMERICA

Employer Postal Code

98337

Employer Phone

360-475-6700

Employer Number of Employees

280

Employer Year Commenced Business

1989

NAICS Code

621111

FW Ownership Interest

N

Employer Contact Name

Susan E Chesbrough

Employer Contact Address 1

400 Warren Avenue, Suite 200

Employer Contact Address 2

PO Box 960

Employer Contact City

Bremerton

Employer Contact State/Province

WASHINGTON

Employer Contact Country

UNITED STATES OF AMERICA

Employer Contact Postal Code

98337

Employer Contact Phone

360-475-6700

Employer Contact Email

sechesbrough@pchsweb.org

Agent Attorney Name

Dayna Kelly

Agent Attorney Firm Name

Law Offices of Dayna Kelly, P.C.

Agent Attorney Phone

(919) 969-7200

Agent Attorney Address 1

250 E Winmore Avenue

Agent Attorney Address 2

Agent Attorney City

Chapel Hill

Agent Attorney State/Province

NORTH CAROLINA

Agent Attorney Country

UNITED STATES OF AMERICA

Agent Attorney Postal Code

27516

Agent Attorney Email

info@dkelly.com

PW Track Number

P10019087957419

PW SOC Code

29-1062

PW SOC Title

Family and General Practitioners

PW Skill Level

Level I

PW Wage

149448.00

PW Unit of Pay

Year

PW Wage Source

OES

PW Determination Date

2019-07-18

PW Expiration Date

2020-06-30

Wage Offer From

180000.00

Wage Offer To

217800.00

Average Salary

198900.00

Wage Unit of Pay

Year

Worksite Address 1

2508 Wheaton Way

Worksite Address 2

Worksite City

Bremerton

Worksite City Slug

bremerton

Worksite State

WASHINGTON

Worksite Postal Code

98310

Job Title

Family Medicine Physician

Job Title Slug

family-medicine-physician

Minimum Education

Other

Major Field of Study

Medicine

Required Training

Y

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

Medical degree or foreign equivalent. Complete Family Medicine residency training program. Able to obtain Washington State medical license prior to commencement of employment.

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

2019-08-23

SWA Job Order End Date

2019-10-01

Sunday Edition Newspaper

Y

First Newspaper Name

Kitsap Sun

First Advertisement Start Date

2019-09-29

Second Newspaper Ad Name

Kitsap Sun

Second Advertisement Type

Newspaper

Second Ad Start Date

2019-10-06

Employer Website From Date

2020-01-01 08:15:22

Employer Website To Date

2020-01-01 08:15:22

Professional Organization Ad From Date

2020-01-01 08:15:22

Professional Organization Advertisement To Date

2020-01-01 08:15:22

Job Search Website From Date

2019-10-03

Job Search Website To Date

2019-10-31

Employee Referral Program From Date

2020-01-01 08:15:22

Employee Referral Program To Date

2020-01-01 08:15:22

Local Ethnic Paper From Date

2020-01-01 08:15:22

Local Ethnic Paper To Date

2020-01-01 08:15:22

Radio/TV Ad From Date

2019-10-03

Radio/TV Ad To Date

2019-10-09

Employer Received Payment

N

Posted Notice at Worksite

Y

Layoff in Past Six Months

N

Country of Citizenship

PHILIPPINES

Foreign Worker Birth Country

PHILIPPINES

Class of Admission

H-1B

Foreign Worker Education

Other

Foreign Worker Information: Major

MEDICINE

Foreign Worker Years of Education Completed

2009

Foreign Worker Institution of Education

UNIVERSITY OF SANTO TOMAS

Foreign Worker Education Institution Address 1

ESPANA BLVD

Foreign Worker Education Institution Address 2

Foreign Worker Education Institution City

MANILA

Foreign Worker Education Institution State/Province

NCR

Foreign Worker Education Institution Country

PHILIPPINES

Foreign Worker Education Institution Postal Code

1008

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

Dayna Kelly

Preparer Title

Attorney

Preparer Email

info@dkelly.com

Employer Information Declaration Name

Jennifer KreidlerMoss

Employer Information Declaration Title

CEO