Individual ProviderJennifer KanoothSocial WorkerBehavioral Health & Social Service ProvidersPractice Address9300 NE Oak View Dr, Vancouver, WA 98662-6157(360) 567-2211PECOS EnrollmentBased on the most recent information from CMS, provider Jennifer Kanooth does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 12:57 PM.Profile DetailsProvider ID1053853200Provider TypeIndividualFull NameKanooth, JenniferGenderFemaleSole ProprietorYesEnumeration Date11/4/2016Last Updated11/4/2016Contact InformationPractice LocationPractice Address9300 NE Oak View Dr, Vancouver, WA 98662-6157Phone(360) 567-2211FaxUnlisted FaxMailing LocationMailing Address9300 NE Oak View Dr, Vancouver, WA 98662-6157Phone(360) 567-2211FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode104100000XPrimaryDescriptionSocial WorkerBehavioral Health & Social Service ProvidersLicenseUnlisted Issuer