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.


Heather Reynolds

Board Chair - 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.


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.


Allison Sansom

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.


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.