Fiscal Year

2020

Case Number

A-20030-13566

Case Status

Certified

Received Date

2020-02-12

Decision Date

2020-06-10

Refile

N

Original File Date

2020-01-01 08:35:14

Previous SWA Case Number State

Schedule A Sheepherder

N

Employer Name

COMMUNITY HEALTH CENTER OF SNOHOMISH COUNTY

Employer Name Slug

community-health-center-of-snohomish-county

Employer Address 1

8609 EVERGREEN WAY

Employer Address 2

Employer City

EVERETT

Employer City Slug

everett

Employer State

WASHINGTON

Employer State Slug

washington

Employer Country

UNITED STATES OF AMERICA

Employer Postal Code

98208

Employer Phone

425-789-3700

Employer Number of Employees

498

Employer Year Commenced Business

1983

NAICS Code

621498

FW Ownership Interest

N

Employer Contact Name

David J Griggs

Employer Contact Address 1

Community Health Center of Snohomish County

Employer Contact Address 2

8609 Evergreen Way

Employer Contact City

Everett

Employer Contact State/Province

WASHINGTON

Employer Contact Country

UNITED STATES OF AMERICA

Employer Contact Postal Code

98208

Employer Contact Phone

425-789-3700

Employer Contact Email

dgriggs@chcsno.org

Agent Attorney Name

Kevin S Lederman

Agent Attorney Firm Name

Cowan Miller Lederman

Agent Attorney Phone

2063401033

Agent Attorney Address 1

Cowan Miller Lederman

Agent Attorney Address 2

1000 Second Avenue, Suite 1620

Agent Attorney City

Seattle

Agent Attorney State/Province

WASHINGTON

Agent Attorney Country

UNITED STATES OF AMERICA

Agent Attorney Postal Code

98104

Agent Attorney Email

klederman@cmlseattle.com

PW Track Number

P10019157451849

PW SOC Code

29-1062

PW SOC Title

Family and General Practitioners

PW Skill Level

Level I

PW Wage

151008.00

PW Unit of Pay

Year

PW Wage Source

OES

PW Determination Date

2019-09-24

PW Expiration Date

2020-06-30

Wage Offer From

178123.00

Wage Offer To

225817.00

Average Salary

201970.00

Wage Unit of Pay

Year

Worksite Address 1

Everett Central Clinic, 4201 Rucker Avenue

Worksite Address 2

Worksite City

Everett

Worksite City Slug

everett

Worksite State

WASHINGTON

Worksite Postal Code

98203

Job Title

Physician

Job Title Slug

physician

Minimum Education

Other

Major Field of Study

Medicine or Osteopathy

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

Doctor of Medicine MD or Doctor of Osteopathy DO, or foreign degree equivalent; completion of an accredited residency program in Family Medicine or Internal Medicine; Washington State licensure as a Physician; and DEA Controlled Substance registration.

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

2019-11-18

SWA Job Order End Date

2019-12-31

Sunday Edition Newspaper

Y

First Newspaper Name

Daily Herald

First Advertisement Start Date

2019-11-24

Second Newspaper Ad Name

Daily Herald

Second Advertisement Type

Newspaper

Second Ad Start Date

2019-12-01

Employer Website From Date

2019-11-18

Employer Website To Date

2019-12-31

Professional Organization Ad From Date

2020-01-01 08:35:14

Professional Organization Advertisement To Date

2020-01-01 08:35:14

Job Search Website From Date

2019-11-22

Job Search Website To Date

2019-12-06

Employee Referral Program From Date

2020-01-01 08:35:14

Employee Referral Program To Date

2020-01-01 08:35:14

Local Ethnic Paper From Date

2019-12-20

Local Ethnic Paper To Date

2019-12-20

Radio/TV Ad From Date

2020-01-01 08:35:14

Radio/TV Ad To Date

2020-01-01 08:35:14

Employer Received Payment

N

Posted Notice at Worksite

Y

Layoff in Past Six Months

N

Country of Citizenship

INDIA

Foreign Worker Birth Country

INDIA

Class of Admission

H-1B

Foreign Worker Education

Other

Foreign Worker Information: Major

DOCTOR OF MEDICINE

Foreign Worker Years of Education Completed

2009

Foreign Worker Institution of Education

CHRISTIAN MEDICAL COLLEGE, LUDHIANA

Foreign Worker Education Institution Address 1

BROWN ROAD

Foreign Worker Education Institution Address 2

Foreign Worker Education Institution City

LUDHIANA

Foreign Worker Education Institution State/Province

PUNJAB

Foreign Worker Education Institution Country

INDIA

Foreign Worker Education Institution Postal Code

141008

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

Kevin Lederman

Preparer Title

Attorney

Preparer Email

klederman@cmlseattle.com

Employer Information Declaration Name

Joseph Vessey

Employer Information Declaration Title

Chief Executive Officer