Provider Demographics
NPI:1033189915
Name:DELIUS, RALPH ERNEST (MD)
Entity type:Individual
Prefix:DR
First Name:RALPH
Middle Name:ERNEST
Last Name:DELIUS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1700 NW 167TH PL STE 245
Mailing Address - Street 2:
Mailing Address - City:BEAVERTON
Mailing Address - State:OR
Mailing Address - Zip Code:97006-8110
Mailing Address - Country:US
Mailing Address - Phone:503-447-4125
Mailing Address - Fax:503-447-4130
Practice Address - Street 1:1700 NW 167TH PL STE 245
Practice Address - Street 2:
Practice Address - City:BEAVERTON
Practice Address - State:OR
Practice Address - Zip Code:97006-8110
Practice Address - Country:US
Practice Address - Phone:503-447-4125
Practice Address - Fax:503-447-4130
Is Sole Proprietor?:No
Enumeration Date:2006-01-24
Last Update Date:2025-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORMD225689208600000X, 202K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes202K00000XAllopathic & Osteopathic PhysiciansPhlebology
No208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
0208291491OtherBCBS OF MICHIGAN
MI430214410Medicaid
E80127Medicare UPIN
M52440004Medicare ID - Type Unspecified