Virtual-first specialty care across Washington In-person procedure days in Lacey, WA
CascadeHeadache

Now accepting patients from Washington

Integrative Headache Care

A clinic built to serve patients with complex needs that other providers find challenging.

Book an appointment Meet Dr. Urkov

Sam Urkov, DNP, FNP-C, AQH · Nurse Practitioner · Headache & Migraine Specialist

Sound Familiar?

We get it, because we’ve been there.

At Cascade Headache, we understand what it's like to miss work, cancel plans, and feel like your own body is working against you.

That's exactly why we created this practice:

A clinic built to serve patients with complex needs that other providers find challenging.

We work with you to uncover the factors at play that contribute to your headaches. Then we build a plan that is perfect for your life—no ‘one size fits all’ approach here.

Convenient Care Options:

Secure telemedicine appointments
Most consultations and follow-ups are done virtually. When your care plan calls for in-person procedures, we schedule dedicated clinic days in Lacey, WA.
Evening and weekend availability
We work with your schedule, even if that means having appointments after 5pm or on weekends.
In-person procedures
We perform Botox for Chronic Migraine, Occipital Nerve Blocks, Supraorbital & Supratrochlear Nerve Blocks, Trigger Point Injections, Masseter Injections, and Rescue Injections. If these are needed, we work with you to find convenient times to meet.
Sam Urkov, DNP, FNP-C, AQH, smiling outdoors in front of a green landscape

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 what led me to specialize in headache medicine.”
  • Dr. Sam Urkov, DNP, FNP-C, AQH
  • Doctor of Nursing Practice · Family Nurse Practitioner
  • Advanced Qualification in Headache Medicine
  • Founder, Cascade Headache
More about Dr. Urkov

Free for our patients and everyone else

Ember Migraine Tracker

Migraine tracking, without the headache. A few taps a day become patterns you can see and a report your clinician can use. Built by Dr. Urkov, DNP, FNP-C, AQH, and part of how we practice at Cascade Headache.

Download on the App Store See what Ember does →

Free on iPhone. Android version coming soon.

Ember's month calendar with rings colored by impact level Ember's daily entry screen with symptoms and medications as tappable chips

Get the treatments you need

Book a visit, or start with a discovery call to see if we’re a good fit.

Book now