Your team

Our Mission

Delta Direct Care provides quality, responsive and affordable primary care for everyone.

Our Story

In 2016, Patient Direct Care launched their primary care medical clinic before construction was complete at their current location at 209 East Main Street in Battle Ground. Instead of waiting until the build-out was complete, they found a solution to work out of a tiny home, brought to them by Wolf Industries. Two months later, they moved into their permanent space directly behind Urban Basics and next to The Reflector. 

In 2019, this direct primary care medical clinic reinvented itself and changed their name with purpose. The clinic, as of June 2019 is now called Delta Direct Care. This new name better unifies Dr. Dino W. Ramzi’s clinic with the nonprofit his team has created called the Delta Healthcare Foundation. The Delta Direct Care medical clinic’s second location will house the foundation and donate primary care treatment through the nonprofit to better serve the uninsured and under-insured in our community.

We never rush patient-client relationships. There are no service quotas here. Our team spends the time needed on each patient to better understand individual healthcare situations. 

Needs arise in real-time and health care delivery models are changing to utilize technology for same-day connection to your primary care provider. 

In a complicated healthcare system, we offer two easy to understand primary care membership options that cut out insurance red tape. Our options do not exceed $75/month per person. Discounts for a family plan with lower rates for children.

Our Core Values

At Delta Direct Care we believe great healthcare includes solutions in these three areas:


Prevention begins with an understanding that every individual brings different physiological and physical make-up. DDC spends time examining the genetic and environmental factors that impact a patient's health.


Stress, relationships, and adverse childhood experiences (ACE) greatly impact our health.


We learn and teach others about health from the social relationships that sustain us. We learn behaviors from our community, and in turn, we can impact our community's overall health.

Meet Your Team

Team Bios

Dr. Dino W. Ramzi, MD, MPH

Dr. Ramzi received his medical education at McGill University in Montreal Canada, specializing in family medicine, and then earned a Master’s in Public Health from Emory University in Atlanta. His academic interest has been at the intersection of health policy, management and health outcomes. He has taught at residency programs and has been a Medical Director at Community Clinic Inc. in Rockville, MD. Then, Dr. Ramzi went onto become Chief Medical Officer of an Federally Qualified Health Center (FQHC) in Pasco WA. He has served as President of the Clark County Medical Society and is active in the WSMA and WAFP and it respective PACs, advocating and speaking on topics related to primary care’s vital role in the health of our communities. In 2016 he opened Patient Direct Care, a direct care practice in Battle Ground, WA. He is co-founder of Vaccinate Washington, a public health advocacy organization. Dr. Ramzi and his wife live in Washougal, WA and are very active in all aspects of their community’s life and growth.

Maria D. Ramzi

Maria brings a broad range of clinical experience from her 25 years working in a variety of healthcare settings. Early on she showed tremendous skill at quality control and meeting regulatory standards. She was a Supervisor of Quality Assurance and later became a CDC Inspector focusing safety standards in labs across the country. Maria also worked at Pacific Northwest National Laboratories (PNNL) and later as a Laboratory Supervisor at Kaiser Permanente. At Delta Direct Care Maria ensures our lab quality, the safety of our X-ray facilities, human resources and accounts payable.

Maria is a long-time volunteer for the Free Clinic of SW Washington. Her ability to speak fluent Spanish, in addition to her medical background helped bridge the language gap for many. Until recently, she was the first and only Latina to be part of this organization’s Board of Directors. Family and friends are at the center of Maria's life. She and her husband moved to the Pacific Northwest a decade ago and since, they've put down lasting roots in a community they love.

Jessica Brandt

Jessica believes the best healthcare comes from a meaningful partnership between her and her patients. She enjoys caring for a variety of patients ranging from newborns to the elderly. Jessica was born and raised in the Pacific Northwest. After becoming a Registered Nurse in 2010, she earned a Bachelor’s of Science in Nursing degree from the University of Washington. She continued to get a Master’s of Science in Nursing degree from Washington State University. She received her board certification as a Family Nurse Practitioner in 2015 from the American Academy of Nurse Practitioners. When she is not at the office, she enjoys spending time with her family and friends outdoors.

Trent Russell

Trent Russell is a nationally certified physician assistant with more than eight years’ experience in Primary Care, Emergency Medicine and Interventional Radiology. He completed his Bachelors of Radiologic Science at Boise State University in Boise, Idaho and then earner his Masters of Science in Physician Assistant Studies and the University of Utah in Salt Lake City, Utah. He is certified by the National Commission for Certification of Physician Assistants and Licensed in Washington and Oregon. When not at work you can find Trent fly fishing, volunteering, spending quality time with his son and working on his house.

Oana Cozac

Oana Cozac is a Licensed Medical Assistant in the state of WA. She completed her training through Everest College in 2016. Throughout her training, she was on the president’s list with a 4.0 GPA. After completion of her extern hours at The Free Clinic of SW Washington, she volunteered for a short period of time. Shortly after that, she was offered a job as an MA/Project Access Care Coordinator.

Aimee Clark

Aimee Clark comes from Kaiser Permanente with over 7+ years of healthcare experience. Her specialties are laboratory policies and procedure-based training. She has served on safety committees and assisted with internal lab audits. Aimee grew up in Yacolt, WA and is a native to the area. She traveled to Missoula, Montana and graduated from the University of Montana with a bachelors degree in Anthropology and a minor in International Development studies. Aimee has a passion for public health and is concerned about health inequalities and healthcare disparities. In her free time, she enjoys exploring downtown Vancouver with her husband, snowboarding at Mt. Hood, and learning pyrography (wood burning).

Sandi Rodriguez

Most likely the first face you will see when you walk through the door at Patient Direct Care is Sandi. Sandi considers it a privilege to work as a medical assistant and enjoys being able to have such personable interactions with the patients. Her extensive experience includes being a medical assistant in a variety of settings over the past 23 years, including family practice, surgical/cardiac labs, and public health just to name a few. Born and raised in Los Angeles, Sandi relocated to Washington in 2004 where she has continued her career and raised her beautiful children. Her passion is in community health and serving the underprivileged and underserved. Being fluent in English and Spanish has proved to be very valuable for Sandi and her outreach to the Hispanic population.

Dianna Kretzschmar

Dianna Kretzschmar is a strong community leader and passionate advocate for many causes throughout Clark County. She has worked in SW Washington as a social worker and clinical case manager in long-term health care for almost 30 years. Kretzschmar is an Iris Award recipient, for her outstanding contributions to the community. She is the former Executive Director of the Clark County Parks Foundation and served as the first program coordinator for the Clark County Elder Justice Center in the Clark County Prosecuting Attorney’s Office. Kretzschmar is an active volunteer for Share, where she spearheaded the #Every28days campaign. She has also worked on fundraising campaigns for the School of Piano Technology for the Blind, Battle Ground Healthcare and The Children’s Center. Dianna is married and the mother of 6 children, and a proud Blue Star mother of 3 who currently serve in the United States Armed Forces. She enjoys playing the piano, hiking and believes that “The best way to find yourself is to lose yourself in the service of others” Mahatma Gandhi.

Chandra Chase

Chandra Chase is a proven communications leader with expertise in internal and external communications, marketing, graphic design, media relations, social media, story telling, digital strategy & development, community engagement, project management, and events. She has a proven ability to leverage employees, stakeholders, volunteers, and a Board of Directors to further the organization’s mission and brand within the community. She served in a leadership capacity as the Editor for the Vancouver VISION Magazine (Vancouver's only business magazine) in a former role as the Program and Communications Director at the Greater Vancouver Chamber of Commerce. Chandra was recently recognized as one of Clark County's Accomplished and Under 40 by the Vancouver Business Journal (class of 2016) and received the 2018 Innovation in Workforce Development Award for her stemCONNECT program by Workforce SW. Chandra is a graduate from Washington State University and Clark College, loves travel, and is dedicated to her family.