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

Sam 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 what led me to specialize in headache medicine.

Training & Experience:

I spent a decade as an intensive care and surgical recovery unit 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 Washington (and soon: Oregon).

I hold a Certificate in Advanced Headache Diagnosis and Management from Thomas Jefferson University, am a member of the American Headache Society, and am sitting for my Advanced Qualification in Headache Medicine (AQH) certification. I attend headache and migraine science conferences regularly to stay current on the latest evidence.

I also practice as a headache specialist at a respected neurology clinic, Puget Sound Neurology, in Tacoma, Washington.

How I Practice:

My approach blends evidence-based medicine with holistic and integrative lenses. Sometimes, that means medication or procedures; other times it's lifestyle or diet changes, supplementation, non-drug treatments, or simply slowing down enough to notice what the body is trying to communicate.

Headache care is a long road and I see it as a partnership built on respect and trust. I collaborate with my patients rather than dictate.

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

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