When used within the United States, the Pacific Northwest usually refers to the northwestern region of the continental United States which borders on the Pacific Ocean (Oregon, Washington, and, if one goes inland a bit, Idaho and Montana as well). An expanded view of the region might include parts of Canada, such as British Columbia, or possibly even as far as the US state of Alaska. Oddly enough, using the centre of the Pacific Ocean as a starting point, the "Pacific Northwest" would be to the northeast. It's only northwest if the starting point is the centre of the US or North America.