Organization Active NPI

Dawnbreaker Health LLC

  • Primary Care Nurse Practitioner
  • Gresham, OR
National Provider Identifier
1982525226
Registry record updated Jul 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
Legal business name
DAWNBREAKER HEALTH LLC
Practice address
2906 SE Kane Ave
Gresham, OR 97080-7349
Phone
(503) 664-7007
NPI assigned
Jul 23, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Andrew Holden, FNP, DNP
Title
Executive Director
Phone
(215) 397-8509

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LP2300X Primary

Addresses

Primary practice location

2906 SE Kane Ave
Gresham, OR 97080-7349

Mailing address

2906 SE Kane Ave
Gresham, OR 97080-7349
Phone (503) 664-7007

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1784764800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1784764800000",
    "number": "1982525226",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2906 SE KANE AVE",
            "city": "GRESHAM",
            "state": "OR",
            "postal_code": "970807349",
            "telephone_number": "503-664-7007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2906 SE KANE AVE",
            "city": "GRESHAM",
            "state": "OR",
            "postal_code": "970807349",
            "telephone_number": "503-664-7007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAWNBREAKER HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-07-23",
        "last_updated": "2026-07-23",
        "certification_date": "2026-07-22",
        "status": "A",
        "authorized_official_last_name": "HOLDEN",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "215-397-8509",
        "authorized_official_credential": "FNP, DNP"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gresham, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.