Wellness and Anti-Aging
Weight Loss, Hair Restoration, Treatment of Menopause, Low Testosterone, Sexual Health
Resolute, Modern Care
Too often, chronic conditions mean settling for dated medications and dismissive responses. Many PCPs prescribe familiar older generics greatly surpassed by better options. Conditions impacting quality of life get brushed aside but we believe you deserve better. We take an evidence-based, pharmacologically sophisticated approach using the best options available and focusing on the body as a whole. We’re comfortable prescribing newer treatments many PCPs don’t consider—for diabetes, blood pressure, migraine, constipation, allergies, kidney disease, dermatitis, asthma, reflux, cholesterol, insomnia, and sleep apnea. In mental health, we reject blanket approaches, using neurobiologically targeted medications based on specific symptoms for faster-acting, better-tolerated, personalized treatments
Our Provider
My name is Andrew Holden, and I’m a committed Family Practice NP and Primary Care Provider serving patients across the United States. A graduate of Emory University, and the Ivy League University of Pennsylvania, I received advanced training in pathophysiology and pharmacology, and as a board certified member of the American Academy of Nurse Practitioners, I practice high level evidence-based care. I believe each individual has unique needs that guide their healthcare and that modern and advanced treatments should be available and accessible outside of a specialist office. My my main interests include endocrine and metabolic concerns, cardiovascular health, sleep disorders, mental health, allergies and immunology, mens/women’s health, and chronic conditions more broadly.
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What do you treat
Same day, after hours and weekend appointments available
Core Focus
At Dawnbreaker Health, our focus is providing excellent quality care for established conditions such as diabetes and chronic kidney disease, as well as symptom-focused concerns like acne and anxiety. We also offer preventative care, and limited urgent care for specific, well-defined acute issues that are appropriate for telemedicine.
We do not evaluate or treat musculoskeletal or orthopedic problems. We generally do not prescribe controlled substances, except for select sleep medications and testosterone when medically indicated and permitted by law.
Urgent Care
- Acute exacerbations: mild to moderate flare-ups of chronic conditions we treat (or would otherwise treat)
- Upper respiratory symptoms: stable cough and/or sinus symptoms lasting more than 5 days
- Urinary issues: UTI symptoms, yeast infections, and bacterial vaginosis
- Sexual health: emergency contraception; symptoms suggestive of STIs; same-day evaluation for Viagra/Cialis prescriptions (when appropriate)
- Confirmed infections: strep throat, COVID-19, or influenza with a positive test result
- Not for: new or unexplained acute symptoms: including injuries chest pain, abdominal symptoms/pain, other unexplained pain, or fever
Preventative Care
- Vaccines: recommendations, counseling, and prescriptions (when appropriate)
- Colon cancer screening: at-home Cologuard or colonoscopy referral
- Screening labs: complete blood count (CBC), metabolic panel (liver & kidney), cholesterol/lipids, thyroid, A1C, PSA, vitamin D, STI screening, and other labs as indicated
- Women’s health: referrals for DEXA bone density scans and mammograms; osteoporosis evaluation and management
- Smoking history: screening for lung cancer (CT scan) and abdominal aortic aneurysm (ultrasound), when indicated
- Cardiac risk: coronary artery calcium CT
- Travel counseling: malaria prophylaxis and vaccine recommendations
Appointments
At Dawnbreaker Health, we don’t take a one-size-fits-all approach. We offer scheduling options designed to fit your needs—most of our appointment slots are after hours and on weekends. We also accept “walk-ins” for urgent needs (within our scope) when availability allows.
Self Pay Visits can be as short as 20 minutes or as long as 60 minutes.
Insurance based visits are 20 minutes, but multiple visits can be be booked same day or back to back for unrelated problems. We also reserve extra time to see people later in the day if a visit takes longer than expected. You can also call 503-664-7007 to schedule.
- Insurance: We only accept Aetna & United. However, we aim to keep cash prices reasonable (see below).
- We plan to accept BCBS, Cigna and other plans in the future
- Self Pay Fees: $79.99 (20 minutes) or $149.99 (60 minutes)
- Preventive health visit Self Pay: $79.99
- Insurance should still cover labs, imaging, and medications.
- We can not see Medicare/Advantage patients even by Self Pay
- Hours: Saturday/Sunday/Wednesday 12–5PM other days 6–10PM
Common Problems: Our Approach
Select a category to view common conditions we evaluate and treat.
Metabolic, Thyroid, Endocrine Health & Weight Loss
- Type 2 diabetes
- Weight management, obesity and GLP-1 treatment
- Hypothyroidism and Hashimoto’s disease
- Type 1 diabetes for patients without access to Endocrinology
Heart, Cholesterol & Kidney Health
- High blood pressure
- High cholesterol and high triglycerides
- Chronic kidney disease
- Inappropriate sinus tachycardia
Sleep, ENT, Allergy, Colds, Lung & Tobacco Care
- Asthma
- Allergic rhinitis and nasal obstruction
- COPD and chronic bronchitis
- Obstructive sleep apnea
- Insomnia and other sleep problems
- Smoking cessation and tobacco dependence
- Confirmed Positive Flu & Covid
- Sinus Infections longer than 5 days
Mental Health & Neurology
- Anxiety, trauma, and PTSD
- ADHD (Non-Controlled Meds Only)
- Performance Anxiety
- Panic Attacks
- Depression
- Bipolar 2
- Obsessive-compulsive disorder (OCD)
- Body Picking and Dermatillomania
- Alcohol Use Disorders
- Migraine
- Restless Leg Syndrome (RLS)
Digestive, GI & Liver Health
- Acid reflux and GERD
- Chronic constipation and IBS-C
- Opioid-induced constipation
- Chronic diarrhea and IBS-D
- Post-cholecystectomy diarrhea
- Fatty liver disease, including MASLD/MASH
Dermatology, Hair & Nails
- Atopic dermatitis and eczema
- Seborrheic dermatitis
- Psoriasis
- Acne
- Pattern hair loss or androgenic alopecia
- Toenail fungus or onychomycosis
- Tinea, Intertrigo, Athletes foot & other fungal infections
- Hyperhidrosis or excessive sweating
- Impetigo
- Melasma
- Rosacea
- Eyelash Thinning
Hormone, Reproductive, Sexual & Urinary Health
- Women’s and reproductive health
- Polycystic ovarian syndrome
- Menopause and hormone replacement therapy
- Birth control and emergency contraception
- Bacterial vaginosis and vaginal yeast infections
- Heavy periods (Menorrhagia)
- Painful Periods (Dysmenorrhea)
- Premenstrual syndrome (PMS)
- Premenstrual Dysphoric Disorder (PMDD)
- Men’s and hormone health
- Low testosterone and testosterone replacement therapy (Oregon Only)
- Erectile dysfunction
- Sexual health and infection prevention
- Low libido and sexual dysfunction
- HIV PrEP
- Doxy-PEP
- Genital herpes treatment
- Gonorrhea and Chlamydia Treatment
- Bladder health
- Overactive bladder and urinary frequency
- Acute and Recurrent Urinary Tract Infection (UTI)
Other
- Gout
- Osteoporosis & Osteopenia
Wellness & Longevity
At Dawnbreaker health, we treat conditions that profoundly affect wellbeing but are frequently dismissed: menopause, weight management, low testosterone, sexual health concerns, and hair loss. We approach these the same way we approach any chronic condition: with careful evaluation, evidence-based options, and clear follow-through. We offer modern treatments that may not be routinely offered in a typical primary care visit. We also keep costs straightforward. Unlike many competitors, we don’t make you to buy meds from us. We prescribe to your normal pharmacy or to cashed based alternatives for as low as $2-3 a month.
- Pattern hair loss: oral minoxidil, plus finasteride, dutasteride, or spironolactone when appropriate (some options off-label)
- Weight management: (if indicated) GLP-1 medications, “stackable” conventional options, and optimization of your current regimen
- Hormone therapy: bioidentical estrogen and progesterone therapy for menopause symptoms, and testosterone therapy if indicated
- Sexual health: Vyleesi (bremelanotide), Addyi, buspirone, Levitra, Stendra, Viagra, Cialis, and others based on your goals and history
- No Subscriptions, Hidden Fees, or Pharmacy Restrictions
Discounted Medications
Many Telehealth Clinics entice patients by offering low prices on the initial visit only then to force patients into using their in house or partnered pharmacy. These pharmacies can charge up to ten times a reasonable price even on older generic medications. Furthermore many traditional pharmacies still charge high prices on generic medications. Medications conditions seen as “aesthetic” such as obesity, hair loss, and sexual health can be particularly overpriced
At Dawnbreaker Health we do not charge for prescriptions and work with Costplus drugs to get you prices up to 90% lower on common generic medications. Like in person clinics. We can still call in prescriptions to the pharmacy of your choice too and help you get set up with discount programs such as GoodRX or medication specific discounts.
Contact information
Do not send personal health information over text or email. Do not use these contacts for emergencies or urgent physical or mental health concerns. We may take up to 48 hours to respond. If you are in immediate danger or considering self-harm, call 911 or go to the nearest emergency department
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