Our Leadership Team

Dr. Neven is a board certified and residency trained emergency physician who as been practicing at Providence Sacred Heart Medical Center in Spokane, WA since 2005 where he is a partner with Spokane Emergency Physicians.  He was the principle investigator for a CDC funded randomized controlled trial of citywide ED care coordination that was performed in the Tri-Cities of Washington and the editor of the Washington American College of Emergency Physicians ED Opioid Prescribing Guidelines.  He has participated in several efforts to control opioid abuse and provide substance abuse treatment including creating a program that starts patient on buprenorphine and Vivitrol in the ED.  He was inducted into the Spokane Citizen Hall of Fame in April 2016 and has received the Providence Mother Joseph Award.  He founded Consistent Care in 2014 and is the sole owner.  He is passionate about operating a physician run business that serves patients first.

CEO and Founder

Darin Neven, MS, MD

Becky is the Chief Operations Officer for Consistent Care.  She has been an RN since 1990, graduating from Columbia Basin College and WSU with nursing degrees.  She has spent nearly 25 years in Case Management for Medicaid, Medicare Advantage and Commercial health plans.  She has extensive experience building programs to address complex social and healthcare needs.  She has built programs devoted to helping communities through facilitating access to both mental health and substance use disorder treatment, addressing IV drug related medical complications, providing housing and employment services, addressing food security, preventing hospital readmissions, reducing inappropriate ED use, developing community paramedicine outreach, jail transitions and more.  Becky has been with Consistent Care for over 8 years, born and raised in the Tri-Cities, Becky works out of the Tri-Cities office but travels frequently to the Everett, Spokane, Walla Walla, and Yakima offices. 

Chief Operations Officer

Becky Grohs, RN, BSN, CCM

Monique has a Bachelor's degree in Personnel Psychology/ Human Resources and a minor in Psychology from Washington State University. She is located in our Tri-City office, where she was born and raised. Monique enjoys spending time with her dog Baxter, being on the Columbia river, riding her bike in the summertime, and traveling. 

Human Resources Coordinator

Monique Deffenbaugh

Alessa is a University of Washington and Gonzaga University graduate. She is a Nurse Practitioner with over 25 years of emergency medicine, family practice and pediatric experience. Alessa has a passion for working with the underserved and diverse patient populations. She enjoys hiking, kayaking and spending time with her family and 3 dogs.

Associate Medical Director

Alessa Lopez-Castor, ARNP

Dr. Vose brings a wealth of Executive and management experience to Consistent Care. Paul distinguishes himself by his “unrelenting focus on quality and efficiency combined with a genuine concern and commitment for all who work for him." His management expertise spans the full range of operational functions including HR, P&L, accounting, sales management, grant writing, customer service, research & development and administration.  Paul proudly extends his leadership acuity to his community and has a true passion for endeavors benefiting individuals with disabilities.  More recently, Paul served as Washington State Director for a human services organization providing community-based services and employment programs for youth and adults with and without developmental disabilities, across 26 cities throughout Washington, Idaho and Oregon.  His responsibilities included contract management, fiscal and budget accountability, development of new programs and services, and oversight of CARF. 

Support Services Manager

Paul Vose, PhD