Organization
UPSTREAM ROOT CAUSE MEDICINE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JORGE LUIS MORENO DO (MEDICAL DIRECTOR)
(402) 343-7963
Entity
Organization
Contact information
Practice address
8031 W CENTER RD STE 221, OMAHA, NE 68124-3134
(402) 343-7963
(866) 305-8318
Mailing address
8031 W CENTER RD STE 221, OMAHA, NE 68124-3134
(402) 343-7963
(866) 305-8318
Taxonomy
Speciality
Code
Description
License number
State
202D00000X
Integrative Medicine Physician
Primary
—
—
Other
Enumeration date
04/09/2026
Last updated
04/09/2026
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