Cada um então () deve retornar um valor ou jogar

outer.get('/account', function(req, res) {
  var id = req.user.uid
  var userRef = firebase.db.collection('users').doc(id)
  var profilePromise = userRef.get().then(doc => {
    if (doc.exists) {
      var profile = doc.data()
      profile.id = doc.id
      return profile // I assume you don't want to return undefined
//    ^^^^^^
    } else {
      throw new Error("Profile doesn't exist")
//    ^^^^^
    }
  })
  // More promises further on, which I wait for:
  // profilePromise.then(myProfile => { … });
})
Glamorous Gazelle