Individual
EMILY ELIZABETH KANOUSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRM
Contact information
Practice address
10230 SE CHERRY BLOSSOM DR, PORTLAND, OR 97216-2821
(503) 535-1150
Mailing address
15806 NE 89TH ST, VANCOUVER, WA 98682-0701
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
25-CRM-5040
OR
Other
Enumeration date
01/12/2026
Last updated
01/12/2026
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