I currently practice Mon-Thurs at Puget Sound Neurology in Tacoma, WA.
Click here to view their website and schedule with me if you are in the area! ​
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If you live in Oregon, Cascade Headache Care currently provides personalized virtual headache care services.​
Dr. Samuel Urkov
DNP, ARNP, FNP-C

Welcome! I’m Sam, a doctorally-prepared family nurse practitioner specializing in headache medicine. My journey into healthcare spans over a decade of high-acuity critical care nursing and is guided by a deep interest in understanding headache disorders and their impact on individuals’ lives. Through these experiences, I’ve come to appreciate the importance of treating the whole person—addressing more than just symptoms to uncover the root causes of illness.​
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I align my treatment philosophy with the biopsychosocial model, which views disease as the result of complex interactions between biological, psychological, and social factors. This perspective allows me to approach headache care comprehensively, combining evidence-based treatments with compassionate, individualized care to help ease the burden of headache disorders.​​
I get it because I've been there
My passion for headache medicine stems from personal experience—I’ve lived with migraine disease since I was young, as have many in my family. This firsthand understanding has given me a deep well of empathy for others navigating similar challenges. I know how debilitating migraines can be, and I believe they can offer insights into your overall well-being.
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For a deeper dive into my philosophy of migraine, click here
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This perspective shapes my approach, allowing us to not only manage your symptoms but also explore the wisdom in the messages your body may be sending. Together, we can work toward improving your quality of life while addressing the unique factors contributing to your headaches.

Partnering in Your Journey
I believe the best outcomes come from a trusting healthcare partnership. My goal is to collaborate with you to develop a personalized plan that fits your life, needs, and goals. I'll take my time and listen to truly understand your unique headache constellation, and then together we will create a comprehensive plan that works for you.
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If you’re seeking a provider who will listen, guide, and support you, I’m here to help. At Cascade Headache Care, I will work carefully with you so you can regain control and live your life with greater ease and balance. Your health journey is unique, and I’m honored to walk alongside you.

An Integrative Approach
In my practice, I blend the latest in evidence-based Western medicine with insights from holistic approaches, recognizing that health is about more than simply the absence of illness.
Whether through medications, procedures, mindfulness practices, non-pharmacological treatments, or lifestyle changes, my goal is to help patients reduce the impact of headaches on their lives while fostering resilience and overall wellness.
