A smiling man with gray hair and beard outdoors in front of a green landscape.

Dr. Samuel Urkov

Doctor of Nursing Practice (DNP)
Family Nurse Practitioner (FNP-C)
Headache & Migraine Specialist
Founder, Cascade Headache

I get migraine disease.

I've lived with migraine disease since I was five years old. That experience— the frustration, the trial and error, the feeling of not being heard— is exactly what led me to specialize in headache medicine.

Training & Experience:

I spent a decade as an intensive care and surgical recovery nurse in hospitals across the country, where I developed a deep understanding of how pain manifests differently in every person. During my doctoral training, I focused my education on headache medicine, training in specialty clinics under experts dedicated to this field.

Today, I am the founder of Cascade Headache, a virtual-first hybrid clinic expanding access to specialty headache care across Oregon and Washington.

I hold a Certificate in Advanced Headache Diagnosis and Management, am a member of the American Headache Society, and am currently preparing to sit for the Advanced Qualification in Headache Medicine (AQH). I attend headache and migraine science conferences regularly to stay current on the latest evidence.

I also practice as a headache specialist at a neurology clinic in Tacoma, Washington.

How I Practice:

My approach blends evidence-based medicine with a holistic lens. Sometimes that means medication or procedures; other times it's lifestyle strategies, supplements, or simply slowing down enough to notice what your body is communicating. Headache care isn't one-size-fits-all — it's a partnership built on respect and trust.

At Cascade Headache, you won't be just a number in a crowded clinic. You'll be heard, respected, and supported as we build a plan together that fits your life.

Migraine is part of my story, too!
And helping you reclaim your life from it is the reason I do this work.