your Team

at Delta Direct Care

Our Mission

Delta Direct Care’s mission is to provide quality, responsive and affordable primary care to our community utilizing the Direct Primary Care (DPC) model

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:

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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.

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Stress, relationships, and adverse childhood experiences (ACE) greatly impact our health and are associated with developing unhealthy behaviors.

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

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Meet Your Team

Team Bios

Dr Dino Ramzi founder and physician at Delta Direct Care

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 Ramzi Director of Clinical Services at Delta Direct Care

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 Delta Direct Care Nurse Practitioner

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.

Oana Cozac Medical Assistant at Delta Direct Care

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 Delta Direct Care Operations Analyst

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 Rodriquez Facility Coordinator & Medical Assistant at Delta Direct Care

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.

Chelsi Rayford

Chelsi Rayford PA-C is Delta Direct Care's new Physician Assistant and comes to us from Portland, Oregon by way of Oakland, California. Born and raised in Portland, she was an Ophthalmic Technician from 2014 to 2019. She's a graduate of Oregon State University with a degree in General Science - Pre Physician Assistant and holds a Masters in Science in Physician Assistant studies from Samuel Merritt University in Oakland. Her positive energy and empathetic approach to medicine allows her to create lasting, sustainable connections with her patients. She believes in patient-centered care and is an advocate for disease prevention. While in Oakland, she mentored high school students interested in health care careers and spent time on international missions in both Peru and Panama. When not in the office, Chelsi and her husband are planning trips to exotic destinations.

Nicholas Lenard

Nick comes to us with a myriad of experience having worked inpatient and outpatient in large systems across the world. Growing up on the south side of Chicago, Nick saw how pivotal primary care is in influencing peoples lives. It was from this that inspired Nick to go into healthcare. Originally his plan was to go to medical school but after 9/11, he decided he wanted to serve his country. Nick went into the ROTC program during his junior year at DePaul University and commissioned as an Engineer Officer. After serving, Nick went to the University of Iowa to got his Master’s in Healthcare Administration. During his fellowship in Japan, Nick’s passion for alternate methods of care delivery developed. Nick believes that healthcare is a right, not a privilege and hopes to influence the American healthcare system through the DPC model. In his free time, Nick likes to snowboard, hike, climb, and travel.