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Clinics in Portland, Oregon

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Portland, OR

Migraine Treatment clinics in Portland

Migraine care in Portland blends headache medicine anchored around OHSU, Providence Portland, and Legacy Health with integrative clinics offering IV magnesium, nerve blocks, and peptide protocols. Demand reflects a health-literate, naturopathic-friendly, and wellness-oriented population.

Evidence-based care uses triptans, gepants, lasmiditan, and anti-CGRP monoclonals for acute and preventive treatment, plus onabotulinumtoxinA for chronic migraine and FDA-cleared neuromodulation devices. Regenerative and integrative adjuncts in Portland, Oregon include IV magnesium, occipital and sphenopalatine ganglion blocks, ketamine infusions for refractory cases, and HBOT (investigational for cluster headache). Oregon's expansive naturopathic scope including IV therapy and minor prescribing shapes prescribing and compounding authority.

With migraine clinics on Regenerated.com in Portland, patients can compare whether a clinic offers a proper headache workup, follows ICHD-3 criteria, and clearly distinguishes FDA-approved from off-label options.

13 Clinics

Dr. Noël Thomas

Portland, OR

Dr. Noël Thomas, a naturopathic practice in Portland, Oregon, offers neurofeedback alongside integrative approaches to hormone balance, thyroid function, and adrenal health. The clinic specializes in…

  • Neurofeedback Therapy
  • Migraine Treatment

Nathalie Paravicini ND

Portland, OR

Nathalie Paravicini ND, a naturopathic and integrative-medicine clinic in Tigard, offers a range of supportive modalities including IV therapy, neurofeedback therapy, acupuncture, and massage alongsi…

  • IV Therapy
  • Neurofeedback Therapy
  • Migraine Treatment

Radiant Mind Neurofeedback

Portland, OR

Radiant Mind Neurofeedback, a neuromodulation clinic in Portland, OR, specializes in Neurofeedback Therapy. The practice uses real-time brain-activity monitoring to help retrain neural patterns and o…

  • Neurofeedback Therapy
  • Migraine Treatment
 MD on staff

Move Better

Portland, OR

Move Better, a regenerative physical medicine clinic in Portland, offers shockwave therapy alongside chiropractic adjustment, acupuncture, and physical therapy for musculoskeletal pain and functional…

  • Shockwave Therapy
  • Arthritis Treatment
  • Migraine Treatment
  • Erectile Dysfunction (ED) Treatment

Asha Integrative Wellness

Portland, OR

Asha Integrative Wellness, a functional and integrative medicine clinic in Portland, Oregon, offers acupuncture and chiropractic care. The practice positions itself around affirming, inclusive patien…

  • Shockwave Therapy
  • Migraine Treatment
 MD on staff

NW Regen

Portland, OR

NW Regen, a regenerative medicine clinic in Portland, specializes in orthobiologic and cell-based therapies for musculoskeletal conditions and men's health. The practice offers platelet-rich plasma i…

  • PRP Therapy
  • Arthritis Treatment
  • Migraine Treatment
  • Psychedelic Therapy
  • Erectile Dysfunction (ED) Treatment
 MD on staff

Corbett Hill Wellness Center

Portland, OR

Corbett Hill Wellness Center, a musculoskeletal and pain-management clinic in Portland, Oregon, offers shockwave therapy and laser therapy (LLLT) as core regenerative modalities for chronic musculosk…

  • Shockwave Therapy
  • IV Therapy
  • Laser Therapy (LLLT)
  • Arthritis Treatment
  • Migraine Treatment

Alive IV and Wellness

Portland, OR

Alive IV and Wellness, an IV therapy clinic in Portland, offers customized nutrient infusions and NAD IV protocols tailored to individual health goals. The practice specializes in IV hydration and vi…

  • NAD IV Therapy
  • Vitamin IV Therapy
  • IV Therapy
  • IV Hydration
  • Ketamine Therapy
 MD on staff

Interstate Medical Group

Portland, OR

Interstate Medical Group, a regenerative medicine clinic in Portland, Oregon, offers platelet-rich plasma therapy and shockwave therapy alongside chiropractic adjustment, trigger-point injection, and…

  • PRP Therapy
  • Shockwave Therapy
  • Laser Therapy (LLLT)
  • Arthritis Treatment
  • Migraine Treatment

The Wellness Center PDX

Portland, OR

The Wellness Center PDX, an IV therapy clinic in Portland, offers intravenous nutrient infusions and vitamin protocols alongside regenerative orthobiologics and light-based therapies. Patients receiv…

  • Vitamin IV Therapy
  • PRP Therapy
  • IV Therapy
  • Laser Therapy (LLLT)
  • Arthritis Treatment

Spire Holistic Health, Dr. Sarah Noseworthy

Portland, OR

Spire Holistic Health, a functional and integrative-medicine clinic in Tigard, offers acupuncture, chiropractic care, and naturopathic medicine alongside hormone-replacement therapy. Dr. Sarah Nosewo…

  • Migraine Treatment
  • Peptide Therapy
  • Hormone Replacement Therapy (HRT)

Rhodes Chiropractic

Portland, OR

Rhodes Chiropractic, a regenerative physical-medicine clinic in Tigard, Oregon, specializes in shockwave therapy alongside chiropractic care for musculoskeletal pain and sports injuries. Extracorpore…

  • Shockwave Therapy
  • Migraine Treatment
 MD on staff

Áureo

Portland, OR

Áureo, a psychedelic-assisted therapy clinic in Portland, offers ketamine therapy and psychedelic-assisted treatment protocols for treatment-resistant depression, anxiety, PTSD, OCD, and trauma-relat…

  • IV Therapy
  • Ketamine Therapy
  • Migraine Treatment
  • Psychedelic Therapy
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Regulatory context

A note on Oregon's migraine treatment rules.

Repetitive transcranial magnetic stimulation (rTMS) is regulated as a Class II prescription device. The first 510(k) clearance went to NeuroStar in 2008 for treatment-resistant major depressive disorder. Subsequent clearances expanded the on-label scope to obsessive-compulsive disorder (BrainsWay deep TMS, 2018), smoking cessation (BrainsWay, 2020), anxious depression as an adjunct indication (2021), and migraine via single-pulse TMS devices such as eNeura SpringTMS and SAVI Dual. Biofeedback instruments are cleared under 21 CFR 882.1425 as Class II devices for relaxation training and stress reduction. EEG-based neurofeedback systems hold 510(k) clearances in the same category. Cranial electrotherapy stimulation, tDCS wellness devices, and many vagus nerve stimulation accessories sold direct to consumers are not cleared as medical devices, and clinical claims beyond cleared indications are off-label.

  • Oregon Medical Practice Act (ORS Chapter 677)
    Defines the practice of medicine and supervision framework for delegated procedures including TMS technician work.
  • Oregon Psychologist Licensure (ORS Chapter 675)
    Governs licensed psychologists who deliver biofeedback and neurofeedback within scope.
  • Oregon Naturopathic Physicians Act (ORS Chapter 685)
    Permits naturopathic physicians to use biofeedback and certain neuromodulation devices within their defined scope.

The Oregon Medical Board investigates TMS clinics for supervision lapses and off-label marketing. The Oregon attorney general enforces the Unlawful Trade Practices Act against deceptive medical device advertising, including neurofeedback cure claims. Oregon has a large naturopathic and integrative sector where CES and tDCS are sometimes offered, and these face board attention when marketing implies FDA-cleared medical treatment. Commercial insurers and Oregon Health Plan coordinated care organizations typically require documented treatment-resistant depression before covering TMS for major depressive disorder.

Sources: fda.gov · oregon.gov · bcia.org · oregon.gov

Migraine Treatment in Portland, answered.

Portland clinics offer conventional and regenerative options. Conventional includes triptans (sumatriptan, rizatriptan), CGRP inhibitors (Aimovig, Emgality, Ajovy, Nurtec ODT, Qulipta), and onabotulinumtoxinA (Botox) for chronic migraine, which is FDA-approved. Regenerative and device options include eNeura sTMS mini (FDA-cleared), occipital and sphenopalatine ganglion nerve blocks, PRP scalp injections (off-label, Insufficient evidence), neurofeedback, and biofeedback. Some clinics also offer IV magnesium and ketamine infusions for refractory cases.

Yes. The eNeura sTMS mini is FDA-cleared for the acute and preventive treatment of migraine with aura in patients 12 years and older. It is a handheld single-pulse transcranial magnetic stimulation device, distinct from the repetitive TMS (rTMS) systems used for depression. Out-of-pocket cost for the eNeura device is typically 250 to 750 dollars per three month prescription. Insurance coverage is limited but improving. The Nerivio device (remote electrical neuromodulation) is also FDA-cleared for acute migraine.

In Portland, Botox for chronic migraine runs 500 to 1,500 dollars per session every three months, typically covered by insurance with prior authorization. CGRP inhibitors cost 600 to 900 dollars per month retail but most insurers cover them after step therapy. Occipital nerve blocks run 150 to 400 dollars per injection. PRP scalp injections are 400 to 1,000 dollars per session and not covered by insurance. Neurofeedback packages typically run 2,000 to 4,000 dollars for a full protocol.

In Oregon, major insurers generally cover triptans, CGRP inhibitors, and Botox for chronic migraine (15 or more headache days per month with 8 migraine days) when step therapy is documented. Medicare and Medicaid coverage varies. Device therapies like eNeura and Nerivio have more limited coverage but some plans cover them with prior authorization. Regenerative and integrative options like PRP, IV therapy, and neurofeedback are typically out of pocket. Verify benefits before starting any protocol.

Look for board-certified neurologists or headache specialists with United Council for Neurologic Subspecialties (UCNS) certification in headache medicine. Verify licensure on the Oregon medical board and NPI registry. Ask about diagnostic workup, headache diary use, and when imaging is indicated. A reputable Portland clinic will not start with Botox or CGRP without documenting frequency and step therapy. Be cautious of clinics pushing expensive regenerative packages without first optimizing evidence-based prevention. Check the FDA warning letter database.

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