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.


Linda Crandell

Board Chair - 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.


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.


Megan Lampson

Megan Lampson

Megan moved to Astoria in 2012 as a traveling physical therapist. She and her husband planned to spend 3 months in Astoria, but fell in love with the people, the weather, and the hiking.

Megan received her Doctor of Physical Therapy degree from St. Catherine University in Minneapolis then became a Geriatric Clinical Specialist. She has worked in skilled nursing facilities/rehabilitation centers, outpatient clinics, and currently in-home health. Meganís focus for the board of Clatsop Care Health District is on the health and well-being of the residents and staff in order to provide our community with a quality continuum of care for our aging adults.


Melissa Watson

Melissa Watson

Melissa Watson moved to the coast in 2014, and realized how fortunate she was to be in such a beautiful place. She brought with her background in human resources, and business management. Having previously worked in the healthcare field, on both the clinical and administrative sides, Melissa plans to use this experience in her board member duties.


Chuck Meyer

Chuck Meyer

Chuck Meyer was born and raised in Cleveland Ohio. He attended the University of Wisconsin. Moved to Astoria in 1977 and opened The Complete Photographer. Chuck and his wife Sara operated it until April 2008, when they retired. A member of the Astoria Rotary since 1985. Associated with Astor St Opry Co for over 30 years. One hobby is restoring and driving a 1931 Dodge Brother automobile.