| Elk River to Parma Heights (Ohio) | 651.75 mi (1,048.89 km) |
| Elk River to Parole (Maryland) | 972.87 mi (1,565.68 km) |
| Elk River to Parsippany (New Jersey) | 1,011.55 mi (1,627.93 km) |
| Elk River to Pasadena (California) | 1,507.47 mi (2,426.03 km) |
| Elk River to Pasadena (Maryland) | 966.60 mi (1,555.59 km) |
| Elk River to Pasadena (Texas) | 1,086.37 mi (1,748.35 km) |
| Elk River to Pasadena Hills (Florida) | 1,330.86 mi (2,141.81 km) |
| Elk River to Pascagoula (Mississippi) | 1,069.01 mi (1,720.40 km) |
| Elk River to Pasco (Washington) | 1,227.87 mi (1,976.07 km) |
| Elk River to Passaic (New Jersey) | 1,025.36 mi (1,650.15 km) |
| Elk River to Pataskala (Ohio) | 661.69 mi (1,064.89 km) |
| Elk River to Patchogue (New York) | 1,081.08 mi (1,739.83 km) |
| Elk River to Paterson (New Jersey) | 1,022.12 mi (1,644.94 km) |
| Elk River to Patterson (California) | 1,520.01 mi (2,446.22 km) |
| Elk River to Pawtucket (Rhode Island) | 1,131.90 mi (1,821.62 km) |
