Healthcare Provider Details

I. General information

NPI: 1740199629
Provider Name (Legal Business Name): PACIFIC ADVOCACY CENTER NORTHWEST
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/04/2026
Last Update Date: 09/11/2026
Certification Date: 09/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

145 NE 2ND AVE
HILLSBORO OR
97124-3071
US

IV. Provider business mailing address

PO BOX 25694
PORTLAND OR
97298-0694
US

V. Phone/Fax

Practice location:
  • Phone: 971-238-9735
  • Fax: 971-228-0319
Mailing address:
  • Phone: 971-238-9735
  • Fax: 971-228-0319

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number State

VIII. Authorized Official

Name: KATHRYN KANANI LEONARDI
Title or Position: EXECUTIVE DIRECTOR
Credential: LCSW
Phone: 971-238-9735