Active NPI
Deborah E Agustin, CAA
- Anesthesiologist Assistant
- Portland, OR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiologist Assistant
- License
- AA70072811
- Practice address
- 707 SW Washington St Ste 700
Portland, OR 97205-3523 - Phone
- (503) 299-9906
- Fax
- (503) 225-9002
- NPI assigned
- Jun 6, 2013
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiologist Assistant | 367H00000X | 0000000 | CO | |
| Anesthesiologist Assistant | 367H00000X | AA70072811 | WA | Primary |
Addresses
Primary practice location
707 SW Washington St Ste 700
Portland, OR 97205-3523
Mailing address
PO Box 35147
#1801
Seattle, WA 98124-5147
Other practice location 1
13123 E 16th Ave
Aurora, CO 80045-7106
Phone (720) 777-1234
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CO, WA
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20130905000781 | CO | Practitioner - Anesthesiology Assistant | 0244473510 | Reassigns benefits to 1 organization |
| I20260605001366 | WA | Practitioner - Anesthesiology Assistant | 0244473510 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Anesthesiology Assistant
- Education
- Other, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- University Physicians IncorporatedOregon Anesthesiology Group PC
Practice addresses (Care Compare)
13123 E 16TH Ave
Aurora, CO 80045-7106
Phone (720) 777-1234
2211 NE 139TH St
Vancouver, WA 98686-2742
Phone (360) 487-1000
Hospital & facility affiliations
- Legacy Salmon Creek Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Associate of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0000000 | CO | MD | Clinical Psychologist |
| 1521 | TX | MD | Community Health Worker |
| AA70072811 | WA | MD | Anesthesiologist Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University Physicians Incorporated | Current | Accepting new patients | |
| Oregon Anesthesiology Group PC | Past | Accepting new patients |
Locations
13123 E 16th Ave
Aurora, CO 80045
Phone (720) 777-3846
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Nurse Practitioner
- Aurora, CO
- NPI 1750740841
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1370476800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1773187200000",
"number": "1649618166",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 35147",
"address_2": "#1801",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981245147"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "707 SW WASHINGTON ST STE 700",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972053523",
"telephone_number": "503-299-9906",
"fax_number": "503-225-9002"
}
],
"practiceLocations": [
{
"address_1": "13123 E 16th Ave",
"address_purpose": "LOCATION",
"city": "Aurora",
"state": "CO",
"postal_code": "800457106",
"country_code": "US",
"telephone_number": "720-777-1234",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "AGUSTIN",
"first_name": "DEBORAH",
"middle_name": "E",
"credential": "CAA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-06-06",
"last_updated": "2026-03-11",
"certification_date": "2026-03-11",
"status": "A"
},
"taxonomies": [
{
"code": "367H00000X",
"taxonomy_group": "",
"desc": "Anesthesiologist Assistant",
"state": "CO",
"license": "0000000",
"primary": false
},
{
"code": "367H00000X",
"taxonomy_group": "",
"desc": "Anesthesiologist Assistant",
"state": "WA",
"license": "AA70072811",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Portland, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.