# CASCADE HEADACHE, PLLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Cascade Headache
- **Organization subpart:** No

## Provider details

- **NPI number:** 1083400311
- **Authorized official:** DR. SAMUEL A URKOV DNP, ARNP, FNP-C (OWNER & PROVIDER)
- **Authorized official phone:** (253) 220-4635

## Contact information

- **Practice address:** 4405 7TH AVE. SE, SUITE 200, PMB 2872, LACEY, WA 98503
- **Practice address phone:** (253) 220-4635
- **Practice address fax:** (253) 237-9326
- **Mailing address:** 4405 7TH AVE. SE, SUITE 200, PMB 2872, LACEY, WA 98503

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363L00000X | Nurse Practitioner | — | NULL | Yes |
| 363L00000X | Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 04/15/2025
- **Last updated:** 08/12/2026