Fiscal Year

2021

Case Number

A-20178-70303

Case Status

Certified-Expired

Received Date

2020-06-29

Decision Date

2021-03-03

Refile

N

Original File Date

2021-01-01 09:04:32

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

WASHINGTON

Employer State Slug

washington

Employer Country

UNITED STATES OF AMERICA

Employer Postal Code

98057

Employer Phone

425-525-3355

Employer Number of Employees

76239

Employer Year Commenced Business

1856

NAICS Code

6211

FW Ownership Interest

N

Employer Contact Name

Maria S Jeanes

Employer Contact Address 1

1801 LIND AVE SW

Employer Contact Address 2

Employer Contact City

Renton

Employer Contact State/Province

WASHINGTON

Employer Contact Country

UNITED STATES OF AMERICA

Employer Contact Postal Code

98057

Employer Contact Phone

425-525-3954

Employer Contact Email

maria.jeanes@providence.org

Agent Attorney Name

Michelle L Salter

Agent Attorney Firm Name

Davis Wright Tremaine LLP

Agent Attorney Phone

2067578342

Agent Attorney Address 1

920 Fifth Avenue

Agent Attorney Address 2

Suite 3300

Agent Attorney City

Seattle

Agent Attorney State/Province

WASHINGTON

Agent Attorney Country

UNITED STATES OF AMERICA

Agent Attorney Postal Code

981041610

Agent Attorney Email

michellesalter@dwt.com

PW Track Number

P10019249052982

PW SOC Code

29-1063

PW SOC Title

Internists, General

PW Skill Level

Level I

PW Wage

136885.00

PW Unit of Pay

Year

PW Wage Source

OES

PW Determination Date

2020-01-10

PW Expiration Date

2020-06-30

Wage Offer From

273280.00

Wage Offer To

0.00

Average Salary

273280.00

Wage Unit of Pay

Year

Worksite Address 1

Providence Centralia Hospital

Worksite Address 2

914 S. Scheuber Road

Worksite City

Centralia

Worksite City Slug

centralia

Worksite State

WASHINGTON

Worksite Postal Code

98531

Job Title

Hospitalist

Job Title Slug

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

Medical Degree MD in Medicine. Completion of residency program in internal or family medicine. Current or immediate eligibility for Washington medical license.

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

2020-04-27

SWA Job Order End Date

2020-05-27

Sunday Edition Newspaper

Y

First Newspaper Name

The Olympian

First Advertisement Start Date

2020-05-10

Second Newspaper Ad Name

The Olympian

Second Advertisement Type

Newspaper

Second Ad Start Date

2020-05-17

Employer Website From Date

2020-04-27

Employer Website To Date

2020-05-27

Professional Organization Ad From Date

2020-05-05

Professional Organization Advertisement To Date

2020-06-26

Job Search Website From Date

2020-04-27

Job Search Website To Date

2020-05-12

Employee Referral Program From Date

2021-01-01 09:04:32

Employee Referral Program To Date

2021-01-01 09:04:32

Local Ethnic Paper From Date

2021-01-01 09:04:32

Local Ethnic Paper To Date

2021-01-01 09:04:32

Radio/TV Ad From Date

2021-01-01 09:04:32

Radio/TV Ad To Date

2021-01-01 09:04:32

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

MEDICINE INTERNAL MEDICINE PSYCHIATRY

Foreign Worker Years of Education Completed

2010

Foreign Worker Institution of Education

GOVERNMENT MEDICAL COLLEGE AND RESEARCH INSTITUTE, MYSORE

Foreign Worker Education Institution Address 1

IRWIN ROAD

Foreign Worker Education Institution Address 2

Foreign Worker Education Institution City

MYSORE

Foreign Worker Education Institution State/Province

KARNATAKA

Foreign Worker Education Institution Country

INDIA

Foreign Worker Education Institution Postal Code

570001

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

Michelle L Salter

Preparer Title

Attorney

Preparer Email

michellesalter@dwt.com

Employer Information Declaration Name

Maria S Jeanes

Employer Information Declaration Title

Immigration Program Manager