Juliette Preston M.D.

Photo of Juliette Preston, M.D.
Faculty profile
  • Director, OHSU Headache Center

Assistant Professor of Neurology School of Medicine

Accepting new patients

4.8 out of 5 (596 Ratings, 248 Comments)


  • Neurology

Special focus on

  • Headache
  • Migraine
  • Pain


  • B.S., University of California San Diego 2003
  • M.S., University of California San Diego 2004
  • M.D., University of California San Diego 2009
  • Residency:

    • Neurology, Harbor-University of California Los Angeles, 2013
  • Fellowship:

    • Headache Medicine and Interventional Pain, University of California Los Angeles, 2015
  • Certifications:

    • American Board of Psychiatry and Neurology, 2013
    • Headache Medicine, United Council for Neurologic Subspecialties, 2016


Dr. Juliette Preston is the director of the OHSU headache center. Prior to joining OHSU, Dr. Preston was an assistant professor at UCLA where she also completed a 2-year fellowship in headache medicine and pain management. She graduated from University of California, San Diego medical school and completed her neurology residency at Harbor-UCLA.

Dr. Preston's clinical work focuses on treating migraine and other head, neck and facial pain disorders.

Her research interest focuses on functional imaging and neuromodulation to be applied to patients with chronic pain.

Read more


  • French

Memberships and associations

  • American Academy of Neurology
  • American Headache Society

Patient Ratings

4.8 out of 5 (596 Ratings, 248 Comments)

The patient ratings score is an average of all responses to the question "How likely would you be to recommend this provider to your family and friends (on a scale of 0 to 10)" on our nationally-recognized NRC patient surveys.

Patient Comments

  • May 05, 2019

    She was very receptive. Listen to everything I had to say I asked all the right questions made it made me feel that she really genuinely understood the challenges and made me hopeful that we could make improvements.

  • May 03, 2019

    It was on time . And I understood what I had

  • May 02, 2019

    Dr. Preston is great and takes time to listen.

  • May 02, 2019

    She is very knowledgeable, and really listens to your concerns. She is very personable, and seems to truly care about you as a person, not just a patient.

  • May 01, 2019

    Dr. Preston really understands how disabling and painful migraines can get. She’s been an instrumental piece of my migraine journey.

  • Apr 30, 2019

    Dr. Preston is smart, thorough, and efficient.

  • Apr 26, 2019

    She was very kind, knowledgeable, and listened to my concerns.

  • Apr 25, 2019

    Very grateful to have gotten in to see Dr. Preston. It's rare to find an expert in the field whose encyclopedic knowledge is matched by her ability to convey it to a layman. She had data she could recite without checking to explain *why* we were or weren't pursuing certain thing, and that is so valuable. For the first time since being diagnosed with migraines, I feel like I am engaged in my treatment plan and and have real options to pursue.

  • Apr 24, 2019

    Dr. P was thorough, informative, kind and friendly.

  • Apr 23, 2019

    Dr. Preston always takes all the time I need and is very patient to answer all my questions. She is very knowledgeable. I feel so fortunate to have her for my neurologist.

  • Apr 22, 2019

    Dr Preston is an Excellent Dr. Very Knowledgeable, Friendly, Caring, Understanding. She always makes me feel so much better. She has a Bubbly Personality, and a smile that helps relax me before my procedure. I have finally found a Neurologist that truly Understands, cares and listens to me in regards to my Migraines.

  • Apr 20, 2019

    Dr. Preston is great. She listens while simultaneously being quick with a needle and both of those are appreciated.

  • Apr 19, 2019

    Empathetic, competent

  • Apr 19, 2019

    Fantastic!! Very knowledgeable and gave us hope for getting life back again. Expertise in her field. Very pleased.

  • Apr 18, 2019

    Great listener! Very thorough and well rehearsed in all medications to help with my condition. I feel 100% confident that I’m now in the hands of the right Dr.

  • Apr 18, 2019

    I LOVE Dr. Preston! She is enthusiastic, positive, and attentive. She carefully listens and offers a lot of feedback and options for my care. I always come away from our appointments having learned a lot about managing my headaches. She is a wonderful asset to OHSU!

  • Apr 17, 2019

    Dr. Preston was very attentive. She listened, and she was also able to explain things clearly. I felt like she cared about my migraines and that she wants to improve my circumstances.

  • Apr 17, 2019

    very professional, has explained everything very clear

  • Apr 16, 2019

    Hi, she was thorough, clear, decisive, and I liked her. Thank you. Bye.

  • Apr 15, 2019

    Dr. Preston is always super nice to see. She knows what's going on with me and always has something else in mind we can try if the current treatment isn't working.

  • Apr 12, 2019

    She was very friendly, listened to my concerns and provided specialized care based on our conversation. I felt well taken care of.

  • Apr 11, 2019

    I think she is a very helpful, caring Doctor I feel very blessed that I have her as my Doctor and would recommend her to any one.

  • Apr 09, 2019

    Dr. Preston is a very impressive physician! She is a great listener, something that is not always found in her profession. There is no doubt of her competency in her field. She certainly diagnosed my issue and provided the means to solve it. She also has a warm and pleasant behavior. She's simply the best!

  • Apr 09, 2019

    Dr Preston is very knowledgeable and personable. I appreciate talking and learning from her.

  • Apr 09, 2019

    She was attentive and compassionate

  • Apr 08, 2019

    This office is extremely efficient. Before my appointment I received everything I needed to prepare and find the office. I checked in a few minutes early and was greeted just moments later by the sweet medical assistant. Not long after I had completed my vitals with the MA, I was called into a room by a medical student. She was very thorough even though I discovered it was her first day in this clinic. I had met Dr. Preston under other circumstances as I work here. She is such an incredible physician and I am confident she will be able to provide the care I need.

  • Apr 07, 2019

    Very good

  • Apr 06, 2019

    Yes, I like Dr. Preston a lot. I think she's very good and she's just the doctor I was looking for headaches and I would recommend her to anyone and everyone. Thank you.

  • Apr 05, 2019

    Absolutely wonderful; a Godsend, and in many ways a life saver.

  • Apr 05, 2019

    Dr Preston has considerable knowledge and resources to improve patient's health. She inspires confidence.

  • Apr 05, 2019

    We left my son's appointment with the thought of giving Doctor Preston a bear hug. [Name] has lived with his condition for so long and has seen many Doctors for his condition. He had lost all hope in getting better. Doctor Preston's knowledge, her gentle way of communicating all the possibilities as well as her concern for his anxiety of driving all the way to Portland for care left him with some hope that there may be something that can help him with his medical condition. She explained that there are many options for treatment and we are just at the beginning. The option for video conferencing his appointments gave him some comfort and relieved him from the stress of the very long trip to Portland for a 1 hour appointment. He actually had a smile when we left and seemed more relaxed.

  • Apr 04, 2019

    I have been seeing Dr. Preston for some years and I think she's great. She's kind, gentle and just amazing.

  • Apr 03, 2019

    Extremely knowledgeable, helpful, and caring.

  • Apr 02, 2019

    Aside from my wife, Dr. Preston is THE BEST employee you have an OHSU! She's compassionate, thorough, and effective. She listens carefully to her patients and works with them to provide the best possible solution to the problem. I've worked with Dr. Preston progressively through medications, Botox and now Aimovig. She never gave up trying to help me. Now my headaches are down from 20 days a month to about three because of her! You probably don't pay her enough! I'd vote for a raise and an award! I'm admittedly a difficult patient so when I say a doc is great it means they are OUTSTANDING! Make sure to keep her around!

  • Mar 29, 2019

    Informative and very personalized

  • Mar 29, 2019

    This doctor was extremely kind and helpful. She didn't just talk about my concerns, but she also spoke about how my brain was healthy according to the images and it was very supportive.

  • Mar 28, 2019

    She is knowledgeable, kind, compassionate and takes the time to make me feel heard as well as make sure I understand her recommendations and plan.

  • Mar 28, 2019

    Wasn't listening

  • Mar 25, 2019

    She was kind. She was caring and I feel that I am well taken care of with her as my doctor.

  • Mar 25, 2019

    Juliette Preston is an incredible doctor. She is very, very patient oriented. I like going to her and I would tell anybody who had headaches like me to go see her.

  • Mar 24, 2019

    Dr. Preston was AMAZING.

  • Mar 24, 2019

    Dr. Preston is a gem of a provider. She listens really well, she's not critical and condescending, and I really appreciated having her my doctor. Thank you.

  • Mar 22, 2019

    Awesome. Dr Preston is very caring and knowledgable. She has helped me with my migraines!

  • Mar 21, 2019

    I have been seeing Dr. Preston for Migraines for one year. I have experienced a lot of relief from most of my triggers. We're still working on the rest. I have learned a lot about my condition, and am hopeful that its not all in my head.(pun intended). Dr. Preston is very knowledgeable in this subject and I feel grateful to have her for my Specialist. Plus now I can see her virtually. That saves me 6 hours of driving time. Thats a win for me.

  • Mar 21, 2019

    Dr. Preston is a great listener and is very concerned bout my symptoms. She is willing to try new medication that have low or no side effects. She explains the medication in away that I understand and she informs me where I can go on the internet to learn more information. I believe that she really cares about her patients.

  • Mar 21, 2019

    Dr. Preston is always very thorough and is very open. So I feel very comfortable with asking questions and she's very knowledgeable when I do have questions.

  • Mar 19, 2019

    Dr. Preston is very nice, always on time, and listens well.

  • Mar 18, 2019

    Dr. Preston was very thorough in answering all of my questions and my wife's questions, was extremely patient as I had two younger children with me and she was very very patient with this ... with them and the exam ... the appointment. Everything went very well, she put our minds at ease, she's helped us through what we thought was most likely a really bad situation or could have been a bad situation and ... and just helped us work through all the questions that we had and we are very much*

  • Mar 16, 2019

    had many questions always answered pleasantly but wish I could address more than the immediate treatment I am getting

  • Mar 14, 2019

    She listened to everything I had to say and calmed my fears.

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