4140 Factoria Blvd SE Ste A 

Bellevue, WA 98006

Compassionate and caring environment. 

Thorough evaluation. Detailed plan. 

Outside-the-box thinking.

Relief Long Awaited

About Us

The privately-run Integrative Headache Clinic (IHC) opened in the Spring of 2019.

Located in Bellevue, WA, Factoria area, IHC serves large geographic area due to its proximity to I-90 and I-405 freeways. 

Prior to establishing his own clinic, Dr. Mark Piker spend more than 10 years providing the highest quality care of most complex headache disorders as an employee of the large hospital system.

Dr. Piker’s outstanding reputation and proven success as a headache specialist lies in his ability to find the meaningful connections between seemingly unrelated pieces of the complicated history, and his willingness to look outside the box to find the best practical solutions to the challenging and frequently disabling conditions.

Dr. Piker stays on top of the latest advances in the headache medicine and offers a wide variety of established headache treatments and therapies.

In addition, in his uncompromising quest for better treatment outcomes, Dr. Piker works in close collaboration with various traditional and alternative/complementary medicine practitioners.

Conditions Treated

Migraine with aura

Migraine without aura

Migraine aura / Migraine without pain

Hemiplegic/Basilar migraine

Cluster headache

Tension headache

Cervicogenic headache

Stress headache

Sinus headache

Occipital neuralgia

Trigeminal neuralgia

Supraorbital neuralgia

Post-traumatic headache

Post-concussion headache

Hemicrania continua

Paroxysmal hemicrania

Exertional headache

Hypnic headache

Pseudotumor cerebri / Idiopathic intracranial hypertension

Spontaneous intracranial hypotension / Low CSF pressure

New daily persistent headache / NDPH

SUNCT syndrome

Et cetera

Procedures Performed

 Botulinum toxin injections:

  • Botox injections
  • Xeomin, Myobloc, Dysport injections

Occipital nerve block

Trigger point injections

Acute migraine treatment

Trigeminal nerve block:

  • supraorbital nerve block
  • supratrochlear nerve block
  • auriculotemporal nerve block

Sphenopalatine ganglion / SPG block:

  • SphenoCath
  • TX-360


Mon     8:30 am - 4:00 pm

Tue       8:30 am - 4:00 pm

Wed    12:00 pm - 4:00 pm

Thu      8:30 am - 4:00 pm

Fri        8:30 am - 4:00 pm

Sat, Sun                  Closed

4140 Factoria Blvd SE Ste A, Bellevue, WA 98006