holding hands

Leadership Team


Thomas Duncan

Medical Director - Thomas S. Duncan, MD

Thomas S. Duncan, M.D., specializes in family medicine and co-owns the Lower Columbia Clinic in Astoria with his wife, nurse practitioner Sue Skinner. Dr. Duncan has provided our community with exceptional care for over 28 years. He attended and graduated with honors from the University of Oregon Medical School (now Oregon Health Sciences University) in 1975. With over 40 years of diverse experience that includes family practice, public health and obstetrics, Dr. Duncan chose to focus on geriatric care due to the high vulnerability of the patient population to mistreatment, and the increasing need for exceptional care and support. He believes personal autonomy and a sense of self-worth should, and can, be maintained at any age, and reflects this notion in his daily practice. When not practicing medicine, Dr. Duncan enjoys walking his dogs and hiking.



Board of Directors

Board members are elected by voters to serve a four-year term.


Karen Burke

Board Chair - Karen Burke, RN, MS

Karen M. Burke is a retired nurse who has worked in acute and community-based care settings and who has more than 25 years of experience in nursing education. Ms. Burke believes all people deserve care that values and honors their individuality, and that is professional, skilled and based in the art and science of caring. This belief drives her to service on the Clatsop Care Health District board of directors.

Karen obtained her initial nursing education at Emanuel Hospital School of Nursing in Portland, Oregon, later completing degrees at Oregon Health & Science University and University of Portland.

Karen and her husband Steve love to garden, travel and spend time with extended family. She enjoys a passion for quilting, accumulating and gradually completing multiple UFOs (unfinished projects).


Heather Reynolds

Heather Reynolds

Heather Reynolds is an Astoria attorney. The experience of a family member at Clatsop Care Health and Rehabilitation Center and that of many of the seniors she works with in her legal practice led her to join the board of directors in 2008. Her goal as a board member is to have modern facilities for residents and continue to improve their living environment.

Heather obtained her undergraduate degree from Whitman College in 1977, and her JD from Willamette University in 1981. She has been in private practice in Astoria since that time. Many of her clients are public entities.

When not working, Heather and her husband are involved in church activities and like to hike and travel.


Paul Radu

Paul Radu

Paul Radu is a business owner and managing partner of P&L Johnson Mechanical. A Clatsop County resident since 1978, Paul has served on many boards through the years including Star of the Sea School and Astoria Golf and Country Club. Paul brings a business background to the board and focuses his attention on the financials and improving daily operations of the District.

Paul and his wife Lorrie have recently moved to the country. When not running his business or volunteering, Paul is enjoying time spent with his grandchildren.


Roy Little

Roy Little, M.D.

Dr. Roy Little has served on the Clatsop Care Health District board of directors since 1995. He received his medical degree from George Washington University in Washington, D.C. and served with the U.S. Air Force as a physician prior to establishing a private practice in Astoria. He was twice chief of staff at Columbia Memorial Hospital and in that capacity served as a member of the CMH board of trustees. Now semi-retired, he continues to work as a physician for the county jail and for the local child abuse assessment center, The Lighthouse for Kids.

Dr. Little has a special interest in long-term care and provides not only medical expertise as a member of the board but also in quality assurance and relations with the county's medical community.

He and his wife, Bonnie, have lived in Astoria since 1990. In his free time, he and Bonnie enjoy being with their three grandchildren, sailing and catching up on long-deferred projects around the house.


Jeff Hazen

Jeff Hazen

Jeff Hazen is the executive director of the Sunset Empire Transportation District. Jeff has served on many volunteer boards over the years including serving as the chair of the Clatsop County Board of Commissioners and mayor of the City of Warrenton. Through his work with Sunset Empire Transportation, Jeff brings a unique understanding of the mobility issues facing seniors in the county.

Jeff moved to the area in 1993. When not working and serving the community, Jeff enjoys traveling with his wife Ronda and spoiling their four grandchildren.


Howard Clarke

Howard R. Clarke

Howard Clarke is a retired capital improvement project manager. He attended Star of the Sea Elementary and Astoria High School, entered the Army for four years and then graduated from Reed College in 1972.

Howard served on the board for 13 years prior to his recent appointment. He would like to see both senior care and health care change from what it is today.

Howard and his wife have a daughter Caitlin and son Max. He also has an interest in ceramics.


Mike Aho

Mike Aho

Mike Aho recently retired from the grocery industry, the last 25 years as co-owner of an independent grocery store with his wife, Tami. He was born in Upper town Astoria and graduated from Astoria High School. Mike developed an interest in the Care District through the experiences of family members at Clatsop Retirement Village, Clatsop Care Center and Clatsop In Home Care. He brings experience reviewing financials and the desire for efficient operations. Mike has a sincere interest in maintaining long-term care options for our local citizens.

Mike is an avid sport fisherman, hunter, gatherer and beachcomber. He and Tami also enjoy travel, spending time with family and friends and cruising their sports car.