Board Members, Committee Chairs, & Group Leadership


Ronald L. Brown, MD – Board President

Ronald Brown, MD has been with NSEM since June of 1999. He served on the NSEM Board previously in 2003, and was again elected to the Board by his colleagues in October of 2013. Dr. Brown was elected Board President in June 2016. He is a current member of the Finance Committee and has served on the Human Resources/ Scheduling Committee for over five years.

Dr. Brown was born in New Orleans, Louisiana. He attended the University of California in San Diego where he received his Bachelor Degree in Animal Physiology & German Literature. He subsequently earned his Medical Degree at Emory University School of Medicine in Atlanta, Georgia and also completed his General Surgery and Emergency Medicine Residencies at Emory University. While he did live in Georgia and California for several years, he was ultimately drawn to Washington where he now calls home.

Dr. Brown is an avid leader of Emergency Medical Services in Snohomish County. For over ten years he has served as Medical Director for the City of Everett Fire Department and two Snohomish County Fire Districts. Since 2005, Dr. Brown has carried out the duties of Medical Director and Flight Physician for Snohomish County Search and Rescue, an organization comprised of 300 volunteers who respond to emergency calls 24 hours a day/365 days a year.

From 2005 – 2012 Dr. Brown served as the EMS Medical Director for the Washington State Department of Health in Snohomish County. In this capacity, he was responsible for developing and maintaining county protocols, establishing a continuing education curriculum for medics, and instituting an electronic medical records system for the county Emergency Medical System; to name just a few of his numerous duties in that position.

Dr. Brown served until 2012 as a member of the US Department of Health & Human Services - International Medical Surgical Response Team which deploys surgical medical specialists to provide critical care during disaster or public health emergencies. These have included both domestic and international deployments such as the World Trade Center Bombings, Hurricane Katrina, and the earthquake in Haiti.

When not working in the Emergency Department or performing search and rescue missions, Dr. Brown enjoys hiking and spending time outdoors with his dogs. Dr. Brown also raises goats, rabbits, and chickens on his five-acre farm.


C. Ryan Keay, MD - Providence Regional Medical Center Everett Medical Director/Board Member

C. Ryan Keay, MD began working with NSEM in July of 2009. She was elected to the NSEM Board of Directors in May of 2014, and appointed ED Medical Director for Providence Regional Medical Center Everett in October of 2014.

Dr. Keay was born in Durham, North Carolina. She grew up in Germany, Oklahoma, and Minnesota. Dr. Keay earned two bachelor’s degrees in Biology and Anthropology at the University of Alaska Fairbanks. After her studies, she did contract work with the Smithsonian's Museum Conservation Institute, examining human remains and performing archaeological surveys. During this time, she was also employed as a flight medic and volunteer firefighter, carrying out medevac missions and fighting wildfires in rural Alaska.

Dr. Keay earned her Medical Degree at the University of Washington, School of Medicine; during which time she completed a Certificate in Tropical Medicine from Mahidol University, Bangkok, Thailand. Dr. Keay completed her Emergency Medicine Residency at the Denver Health Medical Center in Denver, Colorado. In addition to working at North Sound Emergency Medicine, Dr. Keay spent four years as a clinical instructor at Harborview Medical Center.

Some of Dr. Keay's other professional responsibilities include serving on the Board of Directors for Washington American College of Emergency Physicians (WA-ACEP) and the Washington Poison Center (WAPC); both since 2015.  In addition Dr. Keay has held various roles within national ACEP, including Councilor and Chair-elect for the Medical Director’s Section.  Outside of the above work, she supervises paramedics as Medical Program Director at Lake Stevens Fire Department.

Through her travels, Dr. Keay has developed a passion for international medicine and currently volunteers with refugee communities from Burma. In addition, she frequently serves as ship physician with Quark Expeditions to Antarctica.

Dr. Keay’s many interests include traveling, running, skiing, hiking, gardening, and open-water swimming. She spends the majority of her free time engaged in outdoor recreation accompanied by her husband and two children.


Patrick B. Barry, MBA – Executive Director & Board Secretary

Patrick Barry joined NSEM as the Executive Director in March of 2007. Patrick has over 25 years of medical management experience encompassing ambulatory and acute care in both academic and community care settings. Patrick’s main focus is to help NSEM best adapt to the continual challenges within the dynamic heath care industry and ensure the myriad of administrative functions are completed accurately and timely in order to allow the providers to focus on practicing medicine for our patients.

Prior to joining NSEM, Patrick served as the Associate Director for Operations with the University of California, Irvine Medical Center in Orange, California for 7 years. In this position, he directed the operations of the Emergency Department, the only Level I Trauma Center and Burn Center in Orange County. There he developed the tools and methodology to monitor clinical service productivity and profitability, including benchmarking against other academic groups throughout the country. He also was key in developing short-term and long-term strategic plans for the Department, and created financial systems and statements to track, analyze and audit departmental billing, revenue and expenses.

Patrick was born in the Bronx, New York and was raised in Northeastern Pennsylvania. Patrick received a Bachelor's of Science Degree in Business Administration from the University of Pittsburgh at Bradford and shortly thereafter went onto earn his Masters of Business Administration from the University of Pittsburgh’s Joseph M. Katz Graduate School of Business.

Patrick’s primary interests include woodworking, outdoor recreation and spending time with his son.

Richard L. Smith, PA-C – APP Director/Board Member

Richard Smith, PA-C has been with NSEM since 2011. Richard serves as the APC Director and is largely responsible for the future growth of our advanced practice clinicians, being their administrative lead and voice of communication. Richard is also in charge of the PA Student Training program at PRMCE. In addition, Richard is an active member of NSEM’s Human Resources Committee.

 Richard was born in Minnesota, and raised in Arizona. He comes to NSEM with 30 years of combined experience, starting as a Medic in the US Army. He then worked as a paramedic in both first response and air medical transport, completing over 3,000 air medical missions. After graduating from the University of Washington Physician Assistant program in 2003, Rick continued his dedication to Emergency Medicine, working full time as an ED PA-C.

Richard enjoys golfing, skiing, and spending time with a good book, family, friends, and claims he grills a great steak.

F. Alexander de la Fuente, MD – Board Member & Litigation Manager

Dr. de la Fuente joined NSEM in 2007. He was elected to serve on the Board of Directors in October of 2014. Dr. de la Fuente was appointed as Litigation Manager in 2013 and is an active member of NSEM’s Risk Management and ED Operations Committees. He also serves as Chair of the Pacific Northwest Emergency Physicians Claims Committee. Dr. de la Fuente is a clinical faculty member with the University of Washington’s Harborview Medical Center; a world-renowned Level 1 adult and pediatric trauma/burn center located in Seattle.

Dr. de la Fuente attended Harvard University where he received his Bachelor’s Degree in Environmental Science and went on to earn his Medical Degree at Meharry Medical College in Nashville, Tennessee. He completed his residency in Emergency Medicine at John. H. Stroger Hospital in Chicago, Illinois.

Dr. de la Fuente was born and raised in Tallahassee, Florida. He enjoys kayaking, snowboarding, and amateur carpentry. 

Brad E. Talley, MD – Treasurer/Board Member

Brad Talley, MD joined NSEM in July of 2010.  He served as the Chairperson of the Finance Committee from 2014 until 2018.  In this role, he was responsible for leading the committee in reviewing the organization’s financial performance, and recommending financial policies, goals, and budgets that support the mission, values, and strategic goals of the organization.   He was nominated onto the NSEM Board in 2018 and currently serves as the current Treasurer of the Board. 

Dr. Talley’s medical interests include pre hospital care and medical education.   Currently Dr. Talley works as the supervising physician for Snohomish County Fire Districts #7 and District #5 providing medical oversight, education, training and QA for our county pre-hospital providers.   He is part of the clinical faculty at WSU Elson S. Floyd College of Medicine, where he serves as mentor and clinical supervisor for rotating medical students.  He is also a member of the ED Operations and Quality Assurance Committees for NSEM.  At PRMCE, Dr. Talley has been a member of the Stroke and Code Stroke Review Committee.

Dr. Talley was born in Walla Walla, Washington, and was raised in Snohomish, Washington. He attended the University of Washington where he obtained his Bachelor’s of Science Degree in Biology and his Bachelor’s of Arts Degree in Economics. He continued his education with the University of Washington - School of Medicine, where he received his Medical Degree. Dr. Talley completed his residency training at Denver Health Medical Center in Denver, Colorado before returning to his home State of Washington.

Dr. Talley enjoys spending time with his wife and his two children.  When not at work he stays busy coaching his son’s baseball team and daughter’s soccer team. His other interests include running, cycling, hiking, and reading. 


Dan Millikan, MD – Compliance Manager & Quality Assurance Committee Chair/HRAC Member

Dan Millikan MD is originally from the Pacific Northwest, having grown up in Tulalip, Washington, and graduated from Marysville Pilchuck High School. After graduating from Whitman College, in Walla Walla Washington, he moved east to New Hampshire to attend Dartmouth Medical School. Here he developed an interest in International Health Care and took an extra year to spend time working in Guatemala, New Zealand, and Tanzania. Dr. Millikan did his emergency Medicine residency at the University of Michigan, where he was elected Chief Resident, before moving back west to work for NSEM. Working at NSEM gave Dr. Millikan the unique opportunity to work alongside his father, a NSEM physician for 38 years. 

After focusing on clinical practice for the first few years, he took on additional responsibilities, being elected to the Quality Assurance committee in 2014, to the Budget committee in 2014, and to the Board of Directors in 2017, as well as joining the clinical faculty at the Washington State University Elson S. Floyd College of Medicine.

Outside of work Dr. Millikan enjoys spending time with his wife and 3 young children. When he can find a rare free moment he enjoys outdoor activities, especially alpine and back-country skiing, hiking, climbing, alpinism, hunting, and fishing. 


Sarah Hansen, MD has worked with NSEM since 2005. She is the Group’s Quality Assurance Manager, Chairperson for the Quality Assurance Committee, and Compliance Officer.   During her tenure in these positions, Dr. Hansen has made a significant impact on the Group’s operations. Dr. Hansen is a member of the Emergency Department Operations Committee and sits on the PRMCE's Credentials Committee. In addition, Dr. Hansen serves as Chairperson of Pacific Northwest Emergency Physicians Risk Management Committee.

Dr. Hansen was born and raised in the Midwest and earned her Bachelor’s Degree in Psychology from Illinois Wesleyan University in Bloomington, Illinois. Dr. Hansen went onto earn a Medical Degree from Rush Medical College in Chicago, Illinois where she also performed an Internship in Internal Medicine at Rush Medical Center. Later she went on to complete her Emergency Medicine Residency at Cook County Hospital in Chicago, Illinois.

While attending college and completing her residency, Dr. Hansen held many leadership roles including serving as President of the Student Division of Alpha Omega Alpha where she currently maintains membership. Dr. Hansen also served as Chairperson for the Charity and Welfare Committee Student Senate, and served on the Student Senate Financial Advisory Board and was a member of the Student Senate and the St. Basil’s Steering Committee. Dr. Hansen was also awarded the Dean’s Fellowship, and was honored as a Presidential Scholar and Alpha Lambda Delta.

While in Illinois, Dr. Hansen volunteered her time at the Pilsen Homeless Clinic and the Community Health Clinic and founded the Health Education Program at Deborah’s Place, an organization which provides emergency, interim housing, and various supportive programs for homeless women in Chicago.

Currently, she is on the Board of Directors for the Snohomish County Public Defenders Association. 

Dr. Hansen is married with two children, and when not spending time with her family, enjoys fitness activities and reading. 

Matthew J. Beecroft, MD – Medical Director-Observation Unit

Matthew Beecroft, MD joined NSEM in July of 2008. From 2014 through 2018 he served as assistant medical director and chairperson of the ED operations committee, primarily overseeing the day to day operations of the Emergency Department and collaborating with nursing leadership on matters including patient flow, ED design, treatment protocols, and provider interactions.

In 2016, Dr. Beecroft became medical director of the medical short stay and observation units at Providence Everett. The observation unit was a new department at Providence created in conjunction with North Sound Emergency Medicine to better serve this specific patient population with efficient and effective care.

Dr. Beecroft was born and raised outside of Columbus, Ohio. He attended Case Western Reserve University in Cleveland, Ohio where he obtained his Bachelor’s of Science Degree in Civil Engineering. He continued his education with Case Western Reserve University - School of Medicine, where he received his Medical Degree. Dr. Beecroft completed his residency training at Cook County Hospital in Chicago, Illinois.

Dr. Beecroft has been active in numerous committees within NSEM and PRMCE that focus on financial performance and quality process improvement. These include the Finance, Charity, Quality Assurance, ED Flow, Sepsis, Chest Pain, Social Admits, ED-hospitalist liaison, and Telemetry Use committees. In addition, he is a member of a local multi-EM group Risk Management Committee. Dr. Beecroft’s clinical interests include quality metrics, operational efficiency, and cost-effective care.  

Along with his work at PRMCE, Dr. Beecroft also maintains privileges as a clinical faculty member with the University of Washington’s Harborview Medical Center; a world-renowned Level One adult and pediatric trauma/burn center located in Seattle. Additionally, he serves as medical director for Snohomish Co District 4 fire department.

Dr. Beecroft favorite thing is hanging out with his wife and children. His other interests include snowboarding/skiing, trail running, playing guitar, paragliding, working in the yard and garden, and debating things like the merits of the new Star Wars trilogy and why Blood on the Tracks is Dylan’s best album with his friends.

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Thomas E. Robey, MD, PhD – Finance Chair

Tom Robey, MD, PhD joined NSEM in July of 2016.  His professional interests center on improving health outcomes for underserved populations and implementing programs for homeless and drug addicted patients.  Most recently, this includes authoring the medical protocol for Suboxone induction in the Emergency Department.  He sits on the PRMCE Hospital Ethics Committee and assists with education and clinical research in the Emergency Department.

Dr. Robey grew up in rural Maryland and suburban Chicago.  He attended The University of Pittsburgh where he majored in Bioengineering, History and Philosophy of Science and Biology. He earned his MD and PhD at the University of Washington; his bioengineering dissertation focused on increasing survival of transplanted embryonic stem cell-derived cardiomyocytes. Dr. Robey completed his residency training at Yale-New Haven Hospital.

Along with his clinical duties at PRMCE and the administrative role with NSEM, Dr. Robey is part of the  clinical faculty with the Washington State University School of Medicine, and supervises medical students and residents in the Emergency Department.  He has written more than 20 peer-reviewed articles and chapters on topics in bioengineering, medical ethics and emergency medicine.

Dr. Robey enjoys hiking, gardening and learning about the natural history of earth and space with his family.  Carpentry and woodworking are his hobbies of solitude.

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Bryce Snow, MD – Assistant Medical Director PRMCE

Bryce Snow, MD has been part of the NSEM team since 2016.  He began working as the Director of Education in February 2018. In this position he helped to integrate residents and medical students into the Emergency Department. He also assisted with organizing procedure labs and simulation training sessions for NSEM. Starting July 2018, Dr. Snow will become the Assistant Medical Director of the ED for Providence Regional Medical Center Everett. He looks forward to working closely with the leadership teams from NSEM, the Emergency Department and the Hospital to advance emergency care for the local region.

Born in Denver, CO but moving around the world during childhood, Dr. Snow is delighted to now call the beautiful Pacific Northwest home. After living in Norway, Alaska, Oklahoma, Texas, California and Russia, he settled in Salt Lake City, UT. There he met his wife, obtained a Bachelor’s of Science in Biomedical Engineering and attended the University of Utah School of Medicine.  He then completed his residency in Emergency Medicine at the University of Wisconsin in Madison, WI where he served as a Chief Resident and received the Clinical Excellence Award.

A breadth of experiences including working as a flight physician, ringside physician for mixed-martial arts, event physician for college athletics, and volunteer for local low-income/homeless clinics has given Dr. Snow a broad range of clinical interests. As a Board Certified Emergency Medicine Physician, his interests include emergency airway management, the patient experience, medical education, and healthcare deliver in low resource settings. Serving as a Clinical Assistant Professor for the Elson S Floyd College of Medicine at Washington State University, Dr. Snow is able to pursue his passion for medical education. 

Dr. Snow’s greatest passion is in spending time with his wife and children. The overabundance of outdoor activities in the Pacific Northwest provides his family a never-ending list of adventures including hiking, skiing, biking and spending as much time as possible on or in the water. 

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Megan Farnsworth, MD – Emergency Medicine Physician/ Providence Medical Group Medical Director

Megan Farnsworth, MD began working with NSEM in September of 2009 and has been an active member of the NSEM group participating in their Human Resources Committee, Scribe Committee and Quality Assurance Committee. Dr. Farnsworth is also the Medical Director for Providence Medical Group’s two Walk-In Clinics.

 Dr. Farnsworth grew up on Vashon Island in Washington State where she was very active in both riding and showing horses in 4H and Equestrian Events.  She attended the University of Washington School of Medicine where she participated in the Rural Underserved Opportunity Program on San Juan Island.  She completed her residency program at the University of Chicago where she was a Flight Physician for the University of Chicago Aeromedical Network.  During her residency Megan spent time in Liberia Africa as an emergency physician and a clinical teacher instructing medical students and resident trainees through weekly lectures and bedside teaching. 

 When not practicing medicine Dr. Farnsworth enjoys physical fitness including running and CrossFit.  She enjoys spending her free time with her husband and two small children and she looks forward to summers in the Pacific Northwest for boating around the San Juan Islands she and her family call home. 


Eric Cooper, MD - Snohomish County Medical Director for EMS

Eric Cooper, MD joined NSEM in January of 2006. He has been an active member of the Providence Regional Medical Center, Everett Medical Staff, serving on the Pharmacy and Therapeutics Committee since 2007, and the Medical Staff Quality Review Committee since 2014. In 2017, he became chair of the Committee.

Dr. Cooper is from Ft. Lauderdale, FL. He received a Bachelor’s of Science Degree in Biology and History from Tulane University in New Orleans, Louisiana. He continued on to the University Of Miami School of Medicine for his Medical Degree. Dr. Cooper completed a Transitional Internship followed by a residency in Emergency Medicine at UCSF -Fresno. Dr. Cooper is Board Certified in Emergency Medicine and received sub-specialty Board Certification in Emergency Medical Services in 2015.

Since 2013, Dr. Cooper has served as the Snohomish County EMS Medical Program Director, overseeing almost 1,500 pre-hospital care providers who serve a population of around 750,000 residents.

Dr. Cooper enjoys camping and traveling with his family, including frequent visits to the lovely beaches in Jamaica. He is an avid music fan and relieves stress by playing the drums.