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.


Allison Sansom

Board Chair - Allison Sansom

Ms. Sansom is the Director of Nursing and Allied Health Programs at Clatsop Community College and has a nursing and healthcare administration career spanning 25 years, specializing in geriatrics, leadership and management. She served in several healthcare administration positions with Clatsop Care Health District (CCHD) from 2000-2012, including Administrator of Clatsop Care Center and Clatsop Retirement Village, before accepting a position at Clatsop Community College in 2012 as nursing faculty. She was appointed as the Director of Nursing and Allied Health Programs at the college in 2014. Ms. Sansom earned a Bachelor's of Science in Nursing degree from Linfield College in 1992 and a Master's of Science in Nursing degree, with emphasis in education, from Walden University in 2013. She and her husband moved from her home town of Naselle, WA, across the Columbia to Astoria in 2005. Her years of experience with Boards of Directors provides Allison with a keen awareness of a Board member's primary governing responsibilities for setting policy, supporting and evaluating the chief executive, providing financial oversight and most importantly, sustaining the mission and purpose of the organization.


Mindy Stokes

Mindy Stokes

Mindy Stokes is a former Administrator of Clatsop Care Memory Community and Social Services Director of Clatsop Care Center. She is a fierce advocate for the elderly, working to ensure their physical, emotional, mental, and spiritual health. Mindy is the Director of the Lives in Transition/Transiciones Program at Clatsop Community College and has served as adjunct faculty since 2008. She earned her Bachelor's Degree in Dietetics from Chico State University and her Master's Degree in Gender Studies from the University of South Florida. Mindy lives in Astoria with her partner and their eleven-year old daughter.


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.


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.


Jacqueline DeVaney

Jacqueline DeVaney

Jacqueline DeVaney has been a registered nurse for about 10 years, earning her Associate Degree in Nursing at Lonestar College and her Bachelor's Science in Nursing from Kaplan University. Her nursing experience includes working in telemetry, surgical step-down, dialysis, clinical coordination, and home health. Nurse DeVaney is currently studying for an Adult Gerontology Primary Nurse Practitioner degree through Maryville University, with hopes to develop a long term palliative care program for Clatsop County.

As a board member, Nurse DeVaney is committed to advocating for residents, staff, and community members. Nurse DeVaney plans to collaborate with board members, staff, and all community members to achieve positive outcomes.


Linda Crandell

Linda Crandell

Linda Crandell is a retired educator. Her experience was in secondary and tertiary education with special interest in mathematics and science. In addition to work in education, her background includes service to many community-building efforts.

At this time, Linda's efforts focus on the most vulnerable among us. As a Board Member for Northwest Senior and Disability Services she advocates for services for seniors and adults with disabilities, as a Council Member of the Human Services Advisory Council, she advises the Clatsop County Board of Commissioners on issues that affect developmental disabilities, mental health and alcohol and drug abuse services and as a Director of the Clatsop Care Health District, she oversees implementing objectives of the District.

In her role as a current Director of the Clatsop Care Health District, it is important to Linda that a full spectrum of services, as citizens in Clatsop County age, are provided by the District. Many of the residents have spent a lifetime in the Pacific Northwest and want to live out their lives close to family members and the community that they love. Clatsop Care Health District delivers that opportunity.