Japan National Route 4

File:The Kilometre Zero of road in Japan in Nihonbashi, Chuo, Tokyo.jpg

The southern terminus of National Route 4 lies at Nihonbashi, the kilometer zero of Japan in Chūō, Tokyo. The marker here signifies the terminus of national highways including National Route 1, National Route 6, National Route 14, National Route 15, National Route 17, and National Route 20. Of the mentioned highways, three travel concurrently with National Route 4 from Nihonbashi: National Routes 6, 14, and 17.

Just north of the starting point, National Route 17 leaves the concurrency continuing north while National Route 4, along with National Routes 6 and 14, turn east on to Edo-dōri. Three blocks from there Edo-dōri intersects Shōwa-dōri. National Route 4 turns on to Shōwa-dōri leaving the Edo-dōri concurrency with National Routes 6 and 14. Traveling north along Showa-dōri, National Route 4 serves as a frontage road to the Ueno Route of the Shuto Expressway system between Chūō and Taitō. The Ueno Route merges in to National Route 4 just to the northeast of Ueno Station. The highway then crosses over the Sumida River into Adachi. From the northern side of the river to Utsunomiya, the highway is known as the Nikkō Kaidō.{{cite web|title=日光街道・奥州街道|trans-title=Nikkō Kaidō, Ōshū Kaidō|url=https://www.ktr.mlit.go.jp/ktr_content/content/000732265.pdf|work=Ministry of Land, Infrastructure, Transport and Tourism|access-date=4 March 2020}} In the ward the highway crosses beneath the Central Circular Route of the Shuto Expressway system, with an interchange with the expressway's frontage road.{{cite web|title=千住新橋|trans-title=Senju-shimbashi|url=https://www.shutoko.jp/use/network/map/route-c2/senjushinbashi/|work=Shuto Expressway|access-date=4 March 2020}} National Route 4 travels north through Adachi, roughly paralleling the Tobu Skytree Line. It then curves to the northwest, crossing over the Kena River into the city of Sōka in Saitama Prefecture.{{cite web|title=CHOKOTABI SAITAMA|url=https://www.pref.saitama.lg.jp/chokotabi-saitama/eng/access/documents/map01.pdf|work=Saitama Prefecture, Industry & Labor Department, Tourism Division|access-date=4 March 2020}}

• Sōka–Koshigaya–Kasukabe–Sugito–Satte–Kuki
• Koga
• Westernmost point: Kuki, Saitama just west of a bridge carrying the route over the Tone River.

• Nogi–Oyama–Shimotsuke–Kaminokawa, Shimotsuke, Utsunomiya–Takanezawa–Sakura–Yaita–Otawara–Nasushiobara–Nasu

• Nishigo–Shirakawa–Izumizaki–Yabuki–Kagamiishi–Sukagawa–Kōriyama–Motomiya–Ōtama–Nihonmatsu–Fukushima–Date–Koori–Kunimi

• Shiroishi–Zaō–Ōgawara–Murata–Shibata–Iwanuma–Natori–Taihaku-ku, Sendai–Wakabayashi-ku, Sendai–Miyagino-ku, Sendai–Izumi-ku, Sendai–Tomiya–Taiwa–Shiroishi–Ōhira–Ōsaki–Kurihara

• Ichinoseki–Hiraizumi–Ōshū–Kanegasaki–Kitakami–Hanamaki–Shiwa–Yahaba–Morioka–Takizawa–Iwate–Ichinohe–Ninohe
• Highest elevation: {{Convert|458|m|ft|sp=us}} at Jūsanbongi Pass, Ichinohe, Iwate

File:Japan National Route 4 Northern Terminus Marker.jpg in Aomori.]]

• Sannohe–Nanbu–Gonohe–Towada–Shichinohe–Tōhoku–Noheji–Hiranai–Aomori
• Easternmost point: {{Convert|150|m|ft|sp=us}} south of the northern end of the route's concurrency with National Route 104 in Nanbu, Aomori.
• Northernmost point: Hamago, Hiranai, Aomori {{Convert|200|m|ft|sp=us}} south of Mutsu Bay.
• End point: Aomori (ends at the eastern terminus of the west bypass of National Route 7)

File:「栗橋関嗌」、『木曽路名所図会』277.png

National Route 4 was preceded by the Tōsandō, a road initially established during the Asuka period as a road linking Kinai (now Kyoto and Nara) to what is now the vicinity of Morioka, Iwate. The portion of the Tōsandō that was later incorporated into National Route 4 lies between Tochigi Prefecture and Iwate Prefecture.{{cite web|title=Map of the Zenkoku Shichidō and Stations|url=http://blog-imgs-55.fc2.com/y/o/t/yotsuba23/1118-20.jpg|language=ja|access-date=18 July 2019}} The next development of the route came along with the creation of the Ōshū Kaidō (奥州街道) and Nikkō Kaidō (日光街道) as two of the five routes of the Edo period. They were established by Tokugawa Ieyasu for government officials traveling through the area to connect Edo (modern-day Tokyo) with Mutsu Province and the present-day city of Shirakawa, Fukushima Prefecture, Japan. There were also many roads that connected to the Ōshū Kaidō that are included in National Route 4. One such sub-route was the Sendaidō (仙台道), which connected Mutsu Province with Sendai. From Sendai, the Matsumaedō (松前道) connected Sendai with Cape Tappi and indirectly to Hakodate on the southern shore of Hokkaido on the Tsugaru Strait. Though the Ōshū Kaidō has only 27 post stations, there were over 100 designated post stations when the subroutes are included.[http://www.yumekaido.ne.jp/ousyuframe.html Ōshū Kaidō Map] {{Webarchive|url=https://web.archive.org/web/20090416210248/http://www.yumekaido.ne.jp/ousyuframe.html |date=16 April 2009}}. Yumekaidō. Accessed 26 October 2017. Some sections and markers of the Ōshū Kaidō in their original state can still be found alongside National Route 4, the Hachinohe Expressway, and Tōhoku Expressway.{{cite web|url= http://sendai-oldlocal-histry-takakura-kiyosi.saloon.jp/iwatenoousyuukaidou.htm|title=The Oshu Kaido in Iwate|access-date= 26 October 2017}}

On 4 December 1952 First Class National Highway 4 (from Tokyo to Aomori) was established. The route was reclassified as a General National Highway on 1 April 1965.

During the 2011 Great East Japan Earthquake many sections of the route in the Tōhoku area were damaged.{{cite web|title=東日本大震災における国道・高速道路の被害 |url=http://www.jicoojin.com/CEM/wp-content/uploads/2013/07/75b984d24e0f7bf3d19f835089fbb5a2.pdf|language=ja|access-date=6 June 2019}}

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Tokyo Metropolitan Route 316 south (Shōwa-dōri) – Shinagawa, Shinbashi
File:Shuto Urban Expwy Sign 1-Ueno.svg Ueno Route – Ueno, Iriya, Ginza, Haneda

|notes=Northern end of concurrency with National Routes 6 and 14; Ueno Route exit 181/182 (Honchō)

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{{JPNint

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{{JPNint

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{{JPNint

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{{JPNint

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|road=Tokyo Metropolitan Route 319 (Iriyaguchi-dōri) – Nezu
File:Shuto Urban Expwy Sign 1-Ueno.svg Ueno Route – Ginza, Haneda

|notes=Ueno Route exit 185 (Iriya)

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{{JPNint

|km=5.0

|road=Tokyo Metropolitan Route 462 south (Kokusai-dōri) – Kuramae, Asakusa

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}}

{{JPNint

|km=5.2

|road=Tokyo Metropolitan Route 306 (Meiji-dōri) – Ōji, Kameido

|notes=

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{{JPNint

|km=7.0

|road=Tokyo Metropolitan Route 461 (Bokutei-dōri) – Nishiarai, Shirahige Bridge

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{{JPNint

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{{JPNint

|km=10.4

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{{JPNint

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{{JPNint

|km=17.1

|road=Saitama Prefecture Route 34 – Saitama, Misato

|notes=

}}

{{JPNint

|km=18.5

|road={{jct|country=JPN|Route|298}} – Kawaguchi, Misato
File:JP Expressway E4.svg{{hair space}}File:JP Expressway E6.svg{{hair space}}File:JP Expressway E17.svg{{hair space}}{{jct|country=JPN|Exp|C3|dab1=TG}} – to Tōhoku Expressway, Jōban Expressway, Kan-etsu Expressway

|notes=C3 exit 72 (Sōka Interchange)

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{{JPNint

|km=18.8

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{{JPNint

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{{JPNint

|km=21.2

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|notes=Southern end of Saitama Prefecture Route 161 concurrency

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{{JPNint

|km=21.3

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|notes=Northern end of Saitama Prefecture Route 161 concurrency

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{{JPNint

|km=24.2

|road={{jct|country=JPN|Route|463|dir1=west|name1=Koshigaya Kaidō}} – Urawa
Saitama Prefecture Route 405 east – Kita-Koshigaya Station

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{{JPNint

|km=24.6

|road=File:JP Expressway E4.svg{{hair space}}{{jct|country=JPN|Route|463|dir1=west|name1=Koshigaya–Urawa Bypass}} – to Tōhoku Expressway, Tokorozawa

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{{JPNint

|km=26.2

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|notes=

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{{JPNint

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Saitama Prefecture Route 49 south – Central Koshigaya

|notes=Interchange

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{{JPNint

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Saitama Prefecture Route 10 south – Matsubushi

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{{JPNint

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{{JPNint

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|notes=

}}

{{JPNint

|km=36.8

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{{JPNint

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{{JPNint

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Saitama Prefecture Route 183 east – Noda

|notes=

}}

{{JPNint

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Saitama Prefecture Route 408 south – Tōbu-Dōbutsu-Kōen Station

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}}

{{JPNint

|location_special=Satte

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|road=File:JP Expressway C4.svg{{hair space}}File:Japanese National Route Sign 0004.svg Saitama Prefecture Route 318 east – to Ken-Ō Expressway, Koshigaya–Kasukabe Bypass

|notes=

}}

{{JPNint

|km=48.6

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|notes=

}}

{{JPNint

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|notes=

}}

{{JPNint

|km=49.7

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Saitama Prefecture Route 371 east – Sakai

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}}

{{JPNint

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}}

{{JPNint

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Saitama Prefecture Route 60 west

|notes=Interchange; southern end of concurrency with National Route 125

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{{JPNint

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{{JPNint

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|notes=

}}

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{{JPNint

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|notes=

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{{JPNint

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|notes=

}}

{{JPNint

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|notes=

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{{JPNint

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{{JPNint

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{{JPNint

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|notes=

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{{JPNint

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{{JPNint

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{{JPNint

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File:Shinkansen jre.svg Tochigi Prefecture Route 263 east – Oyama Station

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{{JPNint

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{{JPNint

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{{JPNint

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{{JPNint

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|notes=

}}

{{JPNint

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|notes=

}}

{{JPNint

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}}

{{JPNint

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{{JPNint

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{{JPNint

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|notes=

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{{JPNint

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|notes=

}}

{{JPNint

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}}

{{JPNint

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{{JPNint

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{{JPNint

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|notes=

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{{JPNint

|km=108.4

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}}

{{JPNint

|km=109.1

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|notes=Interchange

}}

{{JPNint

|km=111.4

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}}

{{JPNint

|km=113.4

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File:JP Expressway E4.svg{{hair space}}{{jct|country=JPN|Route|119|dir1=west|name1=Utsunomiya Ring Road}} – Tōhoku Expressway, Nikkō

|notes=

}}

{{JPNint

|km=115.3

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|notes=

}}

{{JPNint

|location_special=Takanezawa

|km=117.9

|type=concur

|road={{jct|country=JPN|Route|408|dir1=south}} – Moka
Tochigi Prefecture Route 10 east – Nasukarasuyama

|notes=Northern end of Tochigi Prefecture Route 10 concurrency

}}

{{JPNint

|location_special=Sakura

|lspan=7

|km=124.4

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|notes=

}}

{{JPNint

|km=124.7

|type=concur

|road={{jct|country=JPN|Route|293|dir1=east}} – Nakagawa, Kitsuregawa

|notes=Southern end of National Route 293 concurrency

}}

{{JPNint

|km=125.5

|type=concur

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|notes=Northern end of National Route 293 concurrency

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{{JPNint

|km=126.5

|road=Tochigi Prefecture Route 62 west – Tamanyu

|notes=

}}

{{JPNint

|km=126.7

|road=Tochigi Prefecture Route 181 south – Sakura City Office

|notes=

}}

{{JPNint

|km=129.4

|road=Tochigi Prefecture Route 353 north – Kamasusaka Station

|notes=

}}

{{JPNint

|km=130.6

|road=Tochigi Prefecture Route 180 – Tamanyu, Kitsuregawa

|notes=

}}

{{JPNint

|location_special=Yaita

|lspan=6

|km=133.6

|road=Tochigi Prefecture Route 353 south – Otsuhata

|notes=

}}

{{JPNint

|km=134.0

|road=Tochigi Prefecture Route 74 – Kataoka Station, Kitsuregawa

|notes=

}}

{{JPNint

|km=134.8

|road={{jct|country=JPN|Exp|E4}} – Tokyo, Fukushima

|notes=E4 exit 11 (Yaita Interchange)

}}

{{JPNint

|km=138.2

|road=Tochigi Prefecture Route 25 east – Nasukarasuyama

|notes=

}}

{{JPNint

|km=139.7

|type=concur

|road={{jct|country=JPN|Route|461|dir1=west}} – Nikkō, Kinugawa

|notes=Southern end of National Route 461 concurrency

}}

{{JPNint

|km=141.7

|road=Tochigi Prefecture Route 271 south – Central Yaita

|notes=

}}

{{JPNint

|location_special=Ōtawara

|lspan=3

|km=143.2

|type=concur

|road={{jct|country=JPN|Route|461|dir1=east}} – Kurobane, Ōtawara

|notes=Northern end of National Route 461 concurrency; partial interchange

}}

{{JPNint

|km=143.7

|road=Tochigi Prefecture Route 306 north – Central Yaita

|notes=

}}

{{JPNint

|km=145.7

|road=Tochigi Prefecture Route 185 north – Sekiya

|notes=

}}

{{JPNint

|location_special=Nasushiobara

|lspan=6

|km=149.7

|road=File:JP Expressway E4.svg{{hair space}}File:Japanese National Route Sign 0461.svg{{hair space}}{{jct|country=JPN|Route|400}} – to Tōhoku Expressway, National Route 461, Shiobara, Ōtawara

|notes=

}}

{{JPNint

|km=156.0

|road=File:JP Expressway E4.svg{{hair space}}File:Shinkansen jre.svg Tochigi Prefecture Route 53 – to Tōhoku Expressway, Nasushiobara Station, Ōtawara

|notes=

}}

{{JPNint

|km=156.8

|road=Tochigi Prefecture Route 182 east – Kurobane

|notes=

}}

{{JPNint

|km=157.9

|road=Tochigi Prefecture Route 303 north – Central Nasushiobara

|notes=

}}

{{JPNint

|km=157.9

|road=Tochigi Prefecture Route 303 north – Central Nasushiobara

|notes=

}}

{{JPNint

|km=160.5

|road=Tochigi Prefecture Route 34 – Kurobane, Kuroiso Station

|notes=Interchange

}}

{{JPNint

|location_special=Nasu

|lspan=8

|km=162.9

|type=incomplete

|road=Tochigi Prefecture Route 178

|notes=Half-diamond interchange; northbound exit, southbound entrance

}}

{{JPNint

|km=163.8

|road=Tochigi Prefecture Route 211 – Kurodahara, Central Nasushiobara

|notes=Interchange

}}

{{JPNint

|km=164.8

|road=File:JP Expressway E4.svg Tochigi Prefecture Route 17 – to Tōhoku Expressway, Nasu Kogen

|notes=Interchange; northbound exit, southbound entrance

}}

{{JPNint

|km=165.3

|road=Tochigi Prefecture Route 303 south – Nasu Kogen

|notes=

}}

{{JPNint

|km=173.3

|road=Tochigi Prefecture Route 21 west – Nasu Kogen
Tochigi Prefecture Route 28 east – Kurodahara

|notes=

}}

{{JPNint

|km=174.9

|road=File:JP Expressway E4.svg Tochigi Prefecture Route 349 west – to Tōhoku Expressway

|notes=

}}

{{JPNint

|km=175.5

|road=Tochigi Prefecture Route 305 north – Nasuyumoto

|notes=

}}

{{JPNint

|km=178.7

|road=Tochigi Prefecture Route 105 south – Toyohara Station

|notes=

}}

{{JPNint

|prefecture_special=Fukushima

|pspan=60

|location_special=Nishigō

|lspan=3

|km=182.8

|road=Fukushima Prefecture Route 68 west – Nasu

|notes=

}}

{{JPNint

|km=183.4

|road=Fukushima Prefecture Route 281 north – Mafune
Fukushima Prefecture Route 184 east – Shirasaka

|notes=

}}

{{JPNint

|km=184.6

|road={{jct|country=JPN|Exp|E4}} – Utsunomiya, Fukushima

|notes=E4 exit 14 (Shirakawa Interchange)

}}

{{JPNint

|location_special=Shirakawa

|lspan=5

|km=187.3

|road={{jct|country=JPN|Route|289}} – Shimogō, Tanagura

|notes=One-quadrant interchange

}}

{{JPNint

|km=188.1

|road=Fukushima Prefecture Route 37 – Central Shirakawa, Lake Hatori

|notes=

}}

{{JPNint

|km=190.2

|type=concur

|road=File:JP Expressway E4.svg{{hair space}}{{jct|country=JPN|Route|294|dir1=north}} – to Tōhoku Expressway, Aizuwakamatsu, Taishin

|notes=Southern end of National Route 294 concurrency

}}

{{JPNint

|km=190.9

|type=concur

|road={{jct|country=JPN|Route|294|dir1=south}} – Ogawa, Central Shirakawa

|notes=Northern end of National Route 294 concurrency

}}

{{JPNint

|km=191.9

|road=Fukushima Prefecture Route 185 east – Kutano

|notes=

}}

{{JPNint

|location_special=Izumizaki

|km=197.4

|road=Fukushima Prefecture Route 75 south – Tanagura, Izumizaki Village Office

|notes=

}}

{{JPNint

|location_special=Yabuki

|lspan=5

|km=200.3

|road={{jct|country=JPN|Exp|E4}} – Utsunomiya, Fukushima
{{jct|country=MEX|extra=airport}}{{jct|country=JPN|Exp|E80|dir1=east}} – Fukushima Airport

|notes=E4 exit 15 / E80 exit 1 (Yabuki Interchange)

}}

{{JPNint

|km=200.9

|road=Fukushima Prefecture Route 283 east

|notes=

}}

{{JPNint

|km=202.5

|road=File:Japanese National Route Sign 0294.svg Fukushima Prefecture Route 44 south – to National Route 294, Taishin
{{jct|country=MEX|extra=airport}}File:Japanese National Route Sign 0118.svg Fukushima Prefecture Route 58 east – to Fukushima Airport, National Route 118, Tanagura

|notes=

}}

{{JPNint

|km=203.2

|road=Fukushima Prefecture Route 186 east – Yabuki Station

|notes=

}}

{{JPNint

|km=204.1

|road=Fukushima Prefecture Route 55 north – Naganuma

|notes=

}}

{{JPNint

|location_special=Kagamiishi

|lspan=2

|km=208.1

|road=Fukushima Prefecture Route 288 east

|notes=

}}

{{JPNint

|km=209.1

|road=Fukushima Prefecture Route 289 – Ten-ei, Central Kagamiishi

|notes=

}}

{{JPNint

|location_special=Sukagawa

|lspan=3

|km=212.0

|road={{jct|country=MEX|extra=airport}}{{jct|country=JPN|Route|118}} – to Fukushima Airport, Aizuwakamatsu, Mito

|notes=Interchange

}}

{{JPNint

|km=213.6

|road=Fukushima Prefecture Route 63 – Aizuwakamatsu, Sukagawa City Hall

|notes=

}}

{{JPNint

|km=219.3

|road=File:Japanese National Route Sign 0049.svgFile:Japanese National Route Sign 0288.svg Fukushima Prefecture Route 17 north (Showa-dōri) – to National Route 49, National Route 288, Miharu, Iwaki, Central Kōriyama

|notes=

}}

{{JPNint

|location_special=Kōriyama

|lspan=8

|km=219.9

|road=Fukushima Prefecture Route 109 – Naganuma, Asakanagamori

|notes=

}}

{{JPNint

|km=222.8

|road=File:JP Expressway E4.svg Fukushima Prefecture Route 47 – to Tōhoku Expressway, Asaka-Nagamori Station, Naganuma

|notes=Interchange

}}

{{JPNint

|km=224.1

|road=Fukushima Prefecture Route 143

|notes=

}}

{{JPNint

|km=225.4

|road=Fukushima Prefecture Route 6 – Ōtsuki, Central Kōriyama, Konan

|notes=Interchange

}}

{{JPNint

|km=227.8

|road=File:JP Expressway E4.svg{{jct|country=JPN|Route|49}} – to Tōhoku Expressway, Iwaki, Aizuwakamatsu

|notes=Interchange

}}

{{JPNint

|km=230.0

|road=Fukushima Prefecture Route 296 – Kikuta, Central Kōriyama

|notes=Partial cloverleaf interchange

}}

{{JPNint

|km=232.7

|road=File:Japanese National Route Sign 0049.svg{{jct|country=JPN|Route|288|dir1=east}} – to National Route 49, Iwaki, Miharu, Central Kōriyama

|notes=

}}

{{JPNint

|km=233.0

|road=Fukushima Prefecture Route 357 – Kikuta, Hiwada Station

|notes=

}}

{{JPNint

|location_special=Motomiya

|lspan=3

|km=237.0

|road=Fukushima Prefecture Route 304 – Ōtama

|notes=

}}

{{JPNint

|km=237.5

|road=File:JP Expressway E49.svg{{hair space}}{{jct|country=JPN|Exp|E4}} – to Ban-etsu Expressway, Tokyo, Utsunomiya, Sendai

|notes=E4 exit 19 (Motomiya Interchange)

}}

{{JPNint

|km=241.2

|road=Fukushima Prefecture Route 146 – Ōtama, Miharu, Shirasawa

|notes=One-quadrant interchange

}}

{{JPNint

|location_special=Ōtama

|km=243.4

|road=Fukushima Prefecture Route 30 – Ōtama Village Office, Dake Onsen

|notes=

}}

{{JPNint

|location_special=Nihonmatsu

|lspan=9

|km=246.4

|road=Fukushima Prefecture Route 368 west

|notes=

}}

{{JPNint

|km=247.2

|road=Fukushima Prefecture Route 355 – Central Nihonmatsu

|notes=Partial interchange

}}

{{JPNint

|km=249.1

|type=concur

|road=File:JP Expressway E4.svg{{hair space}}{{jct|country=JPN|Route|459|dir1=west}} – to Tōhoku Expressway, Dake Onsen, Central Nihonmatsu

|notes=Interchange; southern end of National Route 459 concurrency

}}

{{JPNint

|km=249.7

|road=Fukushima Prefecture Route 129 north – Central Nihonmatsu

|notes=

}}

{{JPNint

|km=251.0

|type=concur

|road={{jct|country=JPN|Route|459|dir1=east}} – Namie, Iwashiro

|notes=Interchange; northern end of National Route 459 concurrency

}}

{{JPNint

|km=252.2

|road=Fukushima Prefecture Route 355 south – Central Nihonmatsu

|notes=

}}

{{JPNint

|km=252.4

|road=Fukushima Prefecture Route 62 east – Tōwa

|notes=

}}

{{JPNint

|km=253.0

|road=File:JP Expressway E4.svg Fukushima Prefecture Route 114 north – to Tōhoku Expressway, Adachi Station

|notes=

}}

{{JPNint

|km=257.0

|road=Fukushima Prefecture Route 129 south – Adachi
Fukushima Prefecture Route 39 east – Kawamata, Iino

|notes=Two-quadrant interchange

}}

{{JPNint

|location_special=Fukushima

|lspan=12

|km=259.7

|road=Fukushima Prefecture Route 51 east – Kawamata
Fukushima Prefecture Route 52 west – Matsukawa Station

|notes=Interchange

}}

{{JPNint

|km=261.5

|road=Fukushima Prefecture Route 307 – Fukushima University, Kawamata, Iino

|notes=Interchange

}}

{{JPNint

|km=264.7

|road=Fukushima Prefecture Route 114 south – Fukushima University

|notes=Interchange

}}

{{JPNint

|km=268.6

|road={{jct|country=JPN|Route|13|name1=Fukushima West Bypass|dir1=north}} – Yonezawa, Yamagata

|notes=

}}

{{JPNint

|km=269.9

|type=concur

|road=File:JP Expressway E4.svgFile:Japanese National Route Sign 0013.svg{{jct|country=JPN|Route|115|dir1=west}} – to Tōhoku Expressway, Fukushima West Bypass, Inawashiro, Tsuchiyu Onsen

|notes=Southern end of National Route 115 concurrency

}}

{{JPNint

|km=270.3

|road=Fukushima Prefecture Route 309 north – Tenjin Bridge

|notes=

}}

{{JPNint

|km=271.6

|road=File:Shinkansen jre.svg{{jct|country=JPN|Route|13|name1=Heiwa-dōri|dir1=north}} – Fukushima Station, Yonezawa, Yamagata

|notes=

}}

{{JPNint

|km=272.1

|road={{jct|country=JPN|Route|114|name1=Bansechō-dōri|dir1=east}} – Kawamata

|notes=

}}

{{JPNint

|km=274.0

|type=concur

|road={{jct|country=JPN|Route|115|dir1=east}} – Sōma

|notes=Northern end of National Route 115 concurrency

}}

{{JPNint

|km=276.9

|road=File:JP Expressway E4.svg{{hair space}}File:JP Expressway E13.svgFile:Japanese National Route Sign 0013.svg Fukushima Prefecture Route 387 – to Tōhoku Expressway, Tōhoku-Chūō Expressway, National Route 13, Hobara

|notes=

}}

{{JPNint

|km=277.2

|road=Fukushima Prefecture Route 353 north – Senoue

|notes=

}}

{{JPNint

|km=278.0

|road=Fukushima Prefecture Route 155 west – Iizaka Onsen

|notes=

}}

{{JPNint

|location_special=Date

|lspan=2

|km=279.9

|road={{jct|country=JPN|Route|399}} – Iizaka, Hobara

|notes=

}}

{{JPNint

|km=281.9

|road=Fukushima Prefecture Route 125 south – Hobara

|notes=

}}

{{JPNint

|location_special=Koori

|lspan=2

|km=283.0

|road=Fukushima Prefecture Route 125 west – Iizaka

|notes=

}}

{{JPNint

|km=283.4

|road=Fukushima Prefecture Route 123 east – Yanagawa

|notes=

}}

{{JPNint

|location_special=Kunimi

|lspan=4

|km=288.0

|road=File:JP Expressway E4.svg Fukushima Prefecture Route 46 north – to Tōhoku Expressway

|notes=

}}

{{JPNint

|km=288.2

|road=Fukushima Prefecture Route 31 south – Yanagawa

|notes=

}}

{{JPNint

|km=288.8

|road=Fukushima Prefecture Route 107 west – Central Kunimi
Fukushima Prefecture Route 320 east – Yanagawa

|notes=

}}

{{JPNint

|km=292.7

|road=Fukushima Prefecture Route 321 south – Yanagawa

|notes=

}}

{{JPNint

|prefecture_special=Miyagi

|pspan=69

|location_special=Shiroishi

|lspan=7

|km=296.9

|road=Miyagi Prefecture Route 105 east – Kakuda

|notes=

}}

{{JPNint

|km=304.7

|road=File:Shinkansen jre.svg Miyagi Prefecture Route 24 east – Marumori, Shiroishi-Zaō Station

|notes=

}}

{{JPNint

|km=305.5

|road={{jct|country=JPN|Route|113}} – Nan'yō, Shichikashuku, Kakuda, Central Shiroishi

|notes=Interchange

}}

{{JPNint

|km=306.3

|road=Miyagi Prefecture Route 254 – Central Shiroishi, Kamasaki Onsen

|notes=One-quadrant interchange

}}

{{JPNint

|km=308.1

|road={{jct|country=JPN|Route|457|dir1=north}} – Zaō

|notes=

}}

{{JPNint

|km=308.4

|type=concur

|road=Miyagi Prefecture Route 12 south – Central Shiroishi

|notes=Southern end of Miyagi Prefecture Route 12 concurrency

}}

{{JPNint

|km=310.2

|road={{jct|country=JPN|Exp|E4}} – Fukushima, Sendai, Yamagata

|notes=E4 exit 24 (Shiroishi Interchange)

}}

{{JPNint

|location_special=Zaō

|lspan=3

|km=311.4

|type=concur

|road=Miyagi Prefecture Route 12 north – Zaō Echo Line

|notes=Northern end of Miyagi Prefecture Route 12 concurrency

}}

{{JPNint

|km=312.8

|road=Miyagi Prefecture Route 25 east – Zaō Echo Line

|notes=

}}

{{JPNint

|km=315.4

|road=Miyagi Prefecture Route 112 south – Kita-Shirakawa Station

|notes=

}}

{{JPNint

|location_special=Ōgawara

|lspan=3

|km=318.2

|type=concur

|road=Miyagi Prefecture Route 110 south – Kakuda, Funaoka
Miyagi Prefecture Route 115 west – Zaō

|notes=Southern end of Miyagi Prefecture Route 115 concurrency

}}

{{JPNint

|km=319.4

|type=concur

|road=Miyagi Prefecture Route 115 east – Central Ōgawara

|notes=Northern end of Miyagi Prefecture Route 115 concurrency

}}

{{JPNint

|km=320.3

|road=File:JP Expressway E4.svg Miyagi Prefecture Route 14 – to Tōhoku Expressway, Murata, Central Ōgawara

|notes=

}}

{{JPNint

|location_special=Shibata

|lspan=4

|km=323.5

|road=Miyagi Prefecture Route 116 south – Kakuda, Funaoka Station

|notes=

}}

{{JPNint

|km=324.6

|road=Miyagi Prefecture Route 114 south – Kakuda

|notes=

}}

{{JPNint

|km=327.2

|road={{jct|country=JPN|Route|349|dir1=south}} – Marumori, Kakuda

|notes=Interchange

}}

{{JPNint

|km=328.4

|road=Miyagi Prefecture Route 28 – Tsukinoki, Watari

|notes=Interchange

}}

{{JPNint

|location_special=Iwanuma

|lspan=3

|km=330.5

|road=Miyagi Prefecture Route 39 north – Moniwa

|notes=

}}

{{JPNint

|km=333.2

|type=concur

|road={{jct|country=JPN|Route|6|dir1=south}} – Minamisōma, Sōma

|notes=Southern end of National Route 6 concurrency

}}

{{JPNint

|km=334.3

|road=File:JP Expressway E6.svg Miyagi Prefecture Route 125 east – to Sendai-Tōbu Road

|notes=Interchange

}}

{{JPNint

|location_special=Natori

|lspan=5

|km=334.9

|road=Miyagi Prefecture Route 25 west – Central Iwanuma

|notes=

}}

{{JPNint

|km=337.7

|road={{jct|country=MEX|extra=airport}}File:JP Expressway E6.svg Miyagi Prefecture Route 20 – to Sendai Airport, Sendai-Tōbu Road

|notes=Interchange

}}

{{JPNint

|km=338.1

|road=Miyagi Prefecture Route 258 – Nagamachi, Medeshima

|notes=

}}

{{JPNint

|km=340.8

|road=Miyagi Prefecture Route 127 – Mitazono Station, Morisekinoshita Station

|notes=

}}

{{JPNint

|km=341.6

|road=File:JP Expressway E6.svg Miyagi Prefecture Route 129 – to Sendai-Tōbu Road, Natori Station, Yuriage

|notes=

}}

{{JPNint

|location_special=Sendai

|lspan=10

|km=348.1

|road=Miyagi Prefecture Route 54 – Kawaramachi, Ido-hama

|notes=

}}

{{JPNint

|km=350.5

|road=Miyagi Prefecture Route 235 – Minamikoizumi, Arahama

|notes=

}}

{{JPNint

|km=351.4

|road=File:Shinkansen jre.svgFile:Japan_ferry_sign.png Miyagi Prefecture Route 137 – Sendai Station, Sendai Port

|notes=

}}

{{JPNint

|km=353.7

|type=concur

|road=File:JP Expressway E45.svg{{jct|country=JPN|Route|6|Route|47|dir1=west}}
{{jct|country=JPN|Route|45}} – to Sanriku Expressway, Prefecture Office, City Office, Shiogama

|notes=Nigatake Interchange; northern end of National Route 6 concurrency, southern end of National Route 47 concurrency

}}

{{JPNint

|km=358.7

|road=Miyagi Prefecture Route 37 west – Yaotome, Nankodai

|notes=

}}

{{JPNint

|km=359.6

|road=Miyagi Prefecture Route 35 – Izumi-Chūō, Iwakiri

|notes=

}}

{{JPNint

|km=360.9

|road=Miyagi Prefecture Route 56 north – Nishinarita

|notes=

}}

{{JPNint

|km=361.3

|road=File:Shinkansen jre.svg Miyagi Prefecture Route 22 south – Sendai Station, Izumi-Chūō

|notes=

}}

{{JPNint

|km=362.3

|road=File:JP Expressway E48.svg{{hair space}}{{jct|country=JPN|Exp|E4}} – to Yamagata Expressway, Fukushima, Tokyo, Aomori, Morioka

|notes=E4 exit 29 (Izumi Interchange)

}}

{{JPNint

|km=363.4

|road=Miyagi Prefecture Route 263 west – Izumi Park Town

|notes=

}}

{{JPNint

|location_special=Tomiya

|lspan=2

|km=367.4

|road={{jct|country=JPN|Exp|E6|dab1=SH|dir1=east}} – Ishinomaki, Sōma

|notes=E6 exit 2 (Tomiya Interchange)

}}

{{JPNint

|km=369.0

|road=Miyagi Prefecture Route 256 – Miyatoko, Nishinarita

|notes=

}}

{{JPNint

|location_special=Taiwa

|lspan=2

|km=373.1

|road=Miyagi Prefecture Route 9 east – Matsushima, Sendai Hokubu Industrial Park

|notes=

}}

{{JPNint

|km=373.9

|road=File:JP Expressway E4.svg Miyagi Prefecture Route 3 south – to Tōhoku Expressway, Matsushima
Miyagi Prefecture Route 147 west – Masuzawa

|notes=

}}

{{JPNint

|location_special=Ōhira

|lspan=4

|km=374.7

|road=Miyagi Prefecture Route 261 north – Ishinomaki, Sendai Hokubu Industrial Park

|notes=

}}

{{JPNint

|km=375.7

|road={{jct|country=JPN|Route|457}} – Kami

|notes=

}}

{{JPNint

|km=376.9

|road=File:JP Expressway E4.svg Miyagi Prefecture Route 57 east – to Tōhoku Expressway, Sendai Hokubu Industrial Park

|notes=

}}

{{JPNint

|km=380.2

|road=Miyagi Prefecture Route 16 – Kami, Kashimadai

|notes=

}}

{{JPNint

|location_special=Ōsaki

|lspan=11

|km=384.6

|road=Miyagi Prefecture Route 156 west – Kami

|notes=

}}

{{JPNint

|km=387.3

|road=File:JP Expressway E4.svg Miyagi Prefecture Route 56 south – to Tōhoku Expressway, Iga

|notes=

}}

{{JPNint

|km=388.3

|type=incomplete

|road=Miyagi Prefecture Route 157 – Central Sanbongi, Kami

|notes=Northbound entrance, southbound exit

}}

{{JPNint

|km=389.2

|road=Miyagi Prefecture Route 152 east – Central Sanbongi

|notes=

}}

{{JPNint

|km=393.0

|road=File:Japanese National Route Sign 0347.svg Miyagi Prefecture Route 158 west – to National Route 347, Obanazawa, Kami

|notes=

}}

{{JPNint

|km=393.8

|road={{jct|country=JPN|Route|347|dir1=west}} – Obanazawa, Kami
Miyagi Prefecture Route 1 north – Central Furukawa

|notes=

}}

{{JPNint

|km=395.0

|type=concur

|road=File:JP Expressway E4.svg{{jct|country=JPN|Route|47|Route|108|dir1=west}} – to Tōhoku Expressway, Shinjo, Naruko Onsen, Ishinomaki, Wakuya, Central Furukawa

|notes=Northern end of National Route 47 concurrency

}}

{{JPNint

|km=398.6

|type=concur

|road=Miyagi Prefecture Route 1 south – Central Furukawa

|notes=Southern end of Miyagi Prefecture Route 1 concurrency

}}

{{JPNint

|km=400.0

|road=Miyagi Prefecture Route 165 west – Iwadeyama

|notes=

}}

{{JPNint

|km=400.3

|road=File:JP Expressway E4.svg Miyagi Prefecture Route 266 north – to Tōhoku Expressway, Iwadeyama

|notes=

}}

{{JPNint

|km=402.0

|road=Miyagi Prefecture Route 166 west – Ichihasama

|notes=

}}

{{JPNint

|location_special=Kurihara

|lspan=15

|km=403.1

|type=concur

|road=Miyagi Prefecture Route 1 north – Misato, Central Takashimizu

|notes=Northern end of Miyagi Prefecture Route 1 concurrency

}}

{{JPNint

|km=405.6

|road=Miyagi Prefecture Route 167 – Naruko Onsen, Iwadeyama, Motoyoshi, Semine

|notes=Two-quadrant interchange

}}

{{JPNint

|km=411.2

|road={{jct|country=JPN|Exp|E4}} – Sendai, Tokyo, Morioka, Aomori

|notes=E4 exit 32 (Tsukidate Interchange)

}}

{{JPNint

|km=412.2

|road=Miyagi Prefecture Route 36 east – Tome, Wakayanagi

|notes=

}}

{{JPNint

|km=413.1

|road={{jct|country=JPN|Route|4|dir1=north|name1=Tsukidate Bypass|nolink1=yes}} – Tome

|notes=

}}

{{JPNint

|km=414.8

|road={{jct|country=JPN|Route|398}} – Hanayama, Ichihasama, Wakayanagi, Shiwahime, Izunuma-Uchinuma

|notes=

}}

{{JPNint

|km=416.5

|road=Miyagi Prefecture Route 42 north – Kurikoma Quasi-National Park

|notes=

}}

{{JPNint

|km=423.4

|road=Miyagi Prefecture Route 181 west – Hanayama, Uguisuzawa

|notes=

}}

{{JPNint

|km=423.7

|type=concur

|road=Miyagi Prefecture Route 4 west – Kurikoma

|notes=Southern end of Miyagi Prefecture Route 4 concurrency

}}

{{JPNint

|km=424.7

|type=concur

|road=File:JP Expressway E4.svg Miyagi Prefecture Route 4 east – to Tōhoku Expressway, Wakayanagi

|notes=Northern end of Miyagi Prefecture Route 4 concurrency

}}

{{JPNint

|km=425.0

|type=concur

|road=Miyagi Prefecture Route 186 west – Kurikoma

|notes=Southern end of Miyagi Prefecture Route 186 concurrency

}}

{{JPNint

|km=426.0

|type=concur

|road=Miyagi Prefecture Route 186 east – Hanaizumi

|notes=Northern end of Miyagi Prefecture Route 186 concurrency

}}

{{JPNint

|km=429.1

|road=Miyagi Prefecture Route 48 east – Hanaizumi

|notes=

}}

{{JPNint

|km=431.0

|road=Miyagi Prefecture Route 182 west – Kurikoma

|notes=

}}

{{JPNint

|km=434.6

|road=Miyagi Prefecture Route 187 east – Hanaizumi, Arikabe Station

|notes=

}}

{{JPNint

|prefecture_special=Iwate

|pspan=79

|location_special=Ichinoseki

|lspan=4

|km=436.0

|road=Iwate Prefecture Route 260 north – Central Ichinoseki

|notes=

}}

{{JPNint

|km=440.1

|road={{jct|country=JPN|Route|284|dir1=east}} – Central Ichinoseki
{{jct|country=JPN|Route|457|dir1=south}} – Kurikoma

|notes=

}}

{{JPNint

|km=441.3

|type=concur

|road=File:Japanese National Route Sign 0284.svg{{jct|country=JPN|Route|342|dir1=east}} – to National Route 284, Kesennuma

|notes=Southern end of National Route 342 concurrency

}}

{{JPNint

|km=442.0

|type=concur

|road=File:JP Expressway E4.svg{{jct|country=JPN|Route|342|dir1=west}} – to Tōhoku Expressway, Yokote
Iwate Prefecture Route 14 north – Rikuzentakata, Higashiyama

|notes=Northern end of National Route 342 concurrency

}}

{{JPNint

|location_special=Hiraizumi

|lspan=5

|km=445.9

|road=Iwate Prefecture Route 260 south – Central Ichinoseki

|notes=

}}

{{JPNint

|km=446.3

|road=Iwate Prefecture Route 300 north – Hiraizumi, Chūson-ji, Mōtsū-ji

|notes=

}}

{{JPNint

|km=448.3

|road=Iwate Prefecture Route 206 – Hiraizumi, Higashiyama

|notes=

}}

{{JPNint

|km=451.6

|road=Iwate Prefecture Route 37 – Koromagawa, Hiraizumi
Iwate Prefecture Route 237 north – Higashiyama

|notes=

}}

{{JPNint

|km=452.0

|road={{jct|country=JPN|Exp|E4}} – Tokyo, Sendai, Aomori, Morioka

|notes=E4 exit 35 (Hiraizumi-Maesawa Interchange)

}}

{{JPNint

|location_special=Ōshū

|lspan=12

|km=454.0

|road=Iwate Prefecture Route 243 north – Central Maesawa

|notes=

}}

{{JPNint

|km=455.4

|road=Iwate Prefecture Route 237 – Maesawa Station, Higashiyama

|notes=

}}

{{JPNint

|km=457.2

|road=Iwate Prefecture Route 106 – Central Maesawa, Higashiyama

|notes=

}}

{{JPNint

|km=458.7

|road=Iwate Prefecture Route 243 south – Central Maesawa

|notes=

}}

{{JPNint

|km=461.1

|road=Iwate Prefecture Route 175 east – Rikuchū-Orii Station
File:JP Expressway E4.svg Iwate Prefecture Route 176 west – to Tōhoku Expressway, Isawa

|notes=

}}

{{JPNint

|km=464.7

|road=Iwate Prefecture Route 226 north – Central Mizusawa

|notes=

}}

{{JPNint

|km=465.8

|road={{jct|country=JPN|Route|343|dir1=east}} – Rikuzaentakata, Daito

|notes=

}}

{{JPNint

|km=466.4

|road={{jct|country=JPN|Route|397}} – Yokote, Ōfunato

|notes=

}}

{{JPNint

|km=468.2

|road=Iwate Prefecture Route 251 north (Shiushi-dōri) – Esashi

|notes=

}}

{{JPNint

|km=468.7

|road=Iwate Prefecture Route 8 east – Esashi
Iwate Prefecture Route 226 south – Central Mizusawa

|notes=

}}

{{JPNint

|km=470.2

|road={{jct|country=JPN|Route|4|dir1=south|nolink=yes|name1=Mizusawa-higashi Bypass}} – Sumita, Esashi
Iwate Prefecture Route 270 north – Kanegasaki

|notes=Interchange

}}

{{JPNint

|km=472.1

|road=File:JP Expressway E46.svg{{hair space}}{{jct|country=JPN|Exp|E4}} – to Akita Expressway, Tokyo, Sendai, Aomori, Morioka

|notes=E4 exit 36 (Mizusawa Interchange)

}}

{{JPNint

|location_special=Kanegasaki

|lspan=3

|km=473.9

|road=Iwate Prefecture Route 196 – Iwate Chubu Industrial Area, Central Kanegasaki, Kanegasaki Station

|notes=

}}

{{JPNint

|km=475.2

|road=Iwate Prefecture Route 270 south – Central Kanegasaki

|notes=

}}

{{JPNint

|km=476.5

|road=Iwate Prefecture Route 255 east – Esashi

|notes=

}}

{{JPNint

|location_special=Kitakami

|lspan=7

|km=477.8

|road=Iwate Prefecture Route 159 west

|notes=

}}

{{JPNint

|km=478.5

|road=File:JP Expressway E4.svg Iwate Prefecture Route 50 west – to Tōhoku Expressway
Iwate Prefecture Route 254 north – Central Kitakami

|notes=

}}

{{JPNint

|km=482.7

|road=Iwate Prefecture Route 225 – Geto Onsen, Esashi

|notes=

}}

{{JPNint

|km=484.9

|road=File:JP Expressway E4.svg{{jct|country=JPN|Route|107}} – to Tōhoku Expressway, Yokote, Ōfunato

|notes=

}}

{{JPNint

|km=487.2

|road=Iwate Prefecture Route 254 south – Central Kitakami

|notes=

}}

{{JPNint

|km=488.5

|road=Iwate Prefecture Route 151 east – Murasakino Station

|notes=

}}

{{JPNint

|km=489.8

|road=Iwate Prefecture Route 252 west

|notes=

}}

{{JPNint

|location_special=Hanamaki

|lspan=11

|km=492.9

|road=File:JP Expressway E4.svg Iwate Prefecture Route 298 north – to Tōhoku Expressway, Central Hanamaki

|notes=

}}

{{JPNint

|km=496.1

|road=Iwate Prefecture Route 28 – Central Hanamaki, Higashijunichome

|notes=

}}

{{JPNint

|km=496.9

|road=File:JP Expressway E4.svg{{jct|country=JPN|Route|283}} / Iwate Prefecture Route 12 west – to Tōhoku Expressway, Central Hanamaki, Kamaishi, Tōno, Kenji Miyazawa Museum

|notes=

}}

{{JPNint

|km=499.6

|road=File:JP Expressway E4.svg{{hair space}}{{jct|country=JPN|Exp|E46|dab1=K}} – to Tōhoku Expressway, Kamaishi, Tōno
{{jct|country=MEX|extra=airport}} Iwate Prefecture Route 294 north – Hanamaki Airport, Hanamaki Distribution Center

|notes=E46 exit 1 (Hanamaki Airport Interchange)

}}

{{JPNint

|km=500.4

|road={{jct|country=MEX|extra=airport}}File:Shinkansen jre.svg Iwate Prefecture Route 286 – Hanamaki Airport, Shin-Hanamaki Station, Central Hanamaki, Tōwa

|notes=

}}

{{JPNint

|km=503.0

|road=File:JP Expressway E4.svg Iwate Prefecture Route 37 south – to Tōhoku Expressway, Dai Onsen, Hanamaki Onsen

|notes=

}}

{{JPNint

|km=503.5

|road=File:JP Expressway E4.svg Iwate Prefecture Route 213 west – Hanamaki-Kūkō Station
{{jct|country=MEX|extra=airport}} Iwate Prefecture Route 214 east – Hanamaki Airport, Ōhasama

|notes=

}}

{{JPNint

|km=506.3

|road=Iwate Prefecture Route 265 north – Central Ishidoriya

|notes=

}}

{{JPNint

|km=509.1

|road=Iwate Prefecture Route 109 – Ishidoriya Station

|notes=

}}

{{JPNint

|km=510.3

|road=Iwate Prefecture Route 102 east – Ōhasama

|notes=

}}

{{JPNint

|km=510.9

|road=Iwate Prefecture Route 198 north

|notes=

}}

{{JPNint

|location_special=Shiwa

|lspan=4

|km=512.2

|road=Iwate Prefecture Route 265 south – Central Ishidoriya

|notes=

}}

{{JPNint

|km=515.4

|road=Iwate Prefecture Route 111 west

|notes=

}}

{{JPNint

|km=515.8

|road=File:JP Expressway E4.svg Iwate Prefecture Route 46 west – to Tōhoku Expressway

|notes=

}}

{{JPNint

|km=517.1

|road=File:Japanese National Route Sign 0456.svg Iwate Prefecture Route 25 east – to National Route 456

|notes=

}}

{{JPNint

|location_special=Yahaba

|km=523.9

|road=Iwate Prefecture Route 207 west – Yahaba Station
Iwate Prefecture Route 208 east – Tōno

|notes=

}}

{{JPNint

|location_special=Morioka

|lspan=8

|km=529.1

|road=File:JP Expressway E4.svgFile:Japanese National Route Sign 0396.svg{{jct|country=JPN|Route|46|dir1=west}} / Iwate Prefecture Route 36 – to Tōhoku Expressway, National Route 396, Tōno

|notes=

}}

{{JPNint

|km=530.3

|road=File:Shinkansen jre.svg Iwate Prefecture Route 16 north (Morioka Belt Highway) – Morioka Station, Prefecture Office

|notes=

}}

{{JPNint

|km=531.9

|road={{jct|country=JPN|Route|396|dir1=south}} – Tōno

|notes=

}}

{{JPNint

|km=533.2

|road=File:Shinkansen jre.svg{{jct|country=JPN|Route|106}} – Morioka Station, Prefecture Office, Miyako

|notes=

}}

{{JPNint

|km=535.9

|road={{jct|country=JPN|Route|455}} – Prefecture Office, Iwaizumi

|notes=One-quadrant interchange

}}

{{JPNint

|km=536.6

|road={{jct|country=JPN|Route|455|name1=Kitayama Bypass|dir1=east}} – Iwaizumi

|notes=

}}

{{JPNint

|km=537.5

|type=concur

|road={{jct|country=JPN|Route|281|Route|282|dir1=east|dir2=north}}

|notes=Southern end of concurrency with National Routes 281 and 282

}}

{{JPNint

|km=539.2

|road=File:Shinkansen jre.svg Iwate Prefecture Route 220 south – Morioka Station, Prefecture Office

|notes=

}}

{{JPNint

|location_special=Takizawa

|lspan=2

|km=546.6

|type=concur

|road={{jct|country=JPN|Route|282|dir1=north|name1=Ippongi Bypass}} – Hachimantai
Iwate Prefecture Route 16 (Morioka Belt Highway) – Koiwai

|notes=Northern end of National Route 282 concurrency

}}

{{JPNint

|km=547.3

|road=File:JP Expressway E4A.svg{{hair space}}{{jct|country=JPN|Exp|E4}} – to Hachinohe Expressway, Sendai, Tokyo, Aomori

|notes=E4 exit 43 (Takizawa Interchange)

}}

{{JPNint

|location_special=Morioka

|lspan=2

|km=553.3

|road=Iwate Prefecture Route 169 south – Iwaizumi
Iwate Prefecture Route 301 north – Tamayama Branch Office

|notes=

}}

{{JPNint

|km=558.5

|road=Iwate Prefecture Route 129 west – Hachimantai

|notes=

}}

{{JPNint

|location_special=Iwate

|lspan=3

|km=562.7

|road=Iwate Prefecture Route 157 north – Iwate-Kawaguchi Station

|notes=

}}

{{JPNint

|km=569.3

|road=Iwate Prefecture Route 17 – Hachimantai, Numakunai

|notes=

}}

{{JPNint

|km=572.6

|type=concur

|road={{jct|country=JPN|Route|281|dir1=east}} – Kuji, Kuzumaki

|notes=Northern end of National Route 281 concurrency

}}

{{JPNint

|location_special=Ichinohe

|lspan=9

|km=582.1

|road=Iwate Prefecture Route 30 – Ashiro, Kuzumaki, Oku-nakayama kōgen Station

|notes=

}}

{{JPNint

|km=596.1

|road=Iwate Prefecture Route 101 north – Kozuya Station

|notes=

}}

{{JPNint

|km=598.3

|road=Iwate Prefecture Route 15 south – Kuzumaki, Kozuya Station

|notes=

}}

{{JPNint

|km=600.2

|road=Iwate Prefecture Route 274 north – Ichinohe Hospital, Ichinohe Town Office

|notes=

}}

{{JPNint

|km=602.8

|type=concur

|road=Iwate Prefecture Route 274 south – Central Ichinohe

|notes=Southern end of Iwate Prefecture Route 274 concurrency

}}

{{JPNint

|km=604.6

|road={{jct|country=JPN|Exp|E4A|dab1=H}} – Morioka, Aomori, Hachinohe

|notes=E4A exit 2 (Ichinohe Interchange)

}}

{{JPNint

|km=604.8

|road=Iwate Prefecture Route 5 east – Kunohe

|notes=

}}

{{JPNint

|km=608.3

|type=concur

|road=Iwate Prefecture Route 6 south – Ashiro, Jōbōji

|notes=Southern end of Iwate Prefecture Route 6 concurrency

}}

{{JPNint

|km=608.8

|type=concur

|road=Iwate Prefecture Route 274 north – Central Ninohe

|notes=Northern end of Iwate Prefecture Route 274 concurrency

}}

{{JPNint

|location_special=Ninohe

|lspan=8

|km=610.1

|type=concur

|road=File:Shinkansen jre.svg Iwate Prefecture Route 6 north – Ninohe Station

|notes=Northern end of Iwate Prefecture Route 6 concurrency

}}

{{JPNint

|km=611.4

|road=File:Shinkansen jre.svg Iwate Prefecture Route 6 south – Ninohe Station

|notes=

}}

{{JPNint

|km=612.1

|road=Iwate Prefecture Route 24 east – Central Ninohe

|notes=

}}

{{JPNint

|km=613.6

|road=Iwate Prefecture Route 32 – Takko, Ninohe Industrial Estate, Central Ninohe, Tomai Station

|notes=One-quadrant interchange

}}

{{JPNint

|km=616.1

|road=Iwate Prefecture Route 274 south – Central Ninohe

|notes=

}}

{{JPNint

|km=617.5

|road={{jct|country=JPN|Route|395|dir1=east}} – Kuji, Karumai

|notes=

}}

{{JPNint

|km=619.2

|road=Iwate Prefecture Route 244 east – Kintaichi-Onsen Station

|notes=

}}

{{JPNint

|km=621.9

|road=Iwate Prefecture Route 241 west – Kamitomai

|notes=

}}

{{JPNint

|prefecture_special=Aomori

|pspan=45

|location_special=Sannohe

|lspan=4

|km=622.8

|road=Aomori Prefecture Route 149 east – Metoki Station

|notes=

}}

{{JPNint

|km=627.1

|type=concur

|road={{jct|country=JPN|Route|104|dir1=west}} – Kazuno, Takko
Aomori Prefecture Route 258 north – Sannohe

|notes=Interchange; southern end of National Route 104 concurrency

}}

{{JPNint

|km=629.2

|road=Aomori Prefecture Route 45 – Shingō, Central Sannohe

|notes=

}}

{{JPNint

|km=630.2

|road=Aomori Prefecture Route 45 north – Central Sannohe

|notes=

}}

{{JPNint

|location_special=Nanbu

|lspan=6

|km=633.0

|road=Aomori Prefecture Route 258 south – Sannohe Station

|notes=

}}

{{JPNint

|km=633.3

|road=Aomori Prefecture Route 233 north – Tekurabashi

|notes=

}}

{{JPNint

|km=635.0

|road=Aomori Prefecture Route 222 south – Okitaomote

|notes=

}}

{{JPNint

|km=636.2

|road=Aomori Prefecture Route 224 east – Nakuidake Prefectural Natural Park

|notes=

}}

{{JPNint

|km=640.0

|road=Aomori Prefecture Route 33 south – Karumai

|notes=

}}

{{JPNint

|km=640.7

|type=concur

|road={{jct|country=JPN|Route|104|dir1=east}} – Hachinohe

|notes=Northern end of National Route 104 concurrency

}}

{{JPNint

|location_special=Gonohe

|lspan=6

|km=644.9

|road=Aomori Prefecture Route 233 south – Tekurabashi, Asamizu

|notes=

}}

{{JPNint

|km=646.8

|type=concur

|road={{jct|country=JPN|Route|454|dir1=east}} – Hachinohe

|notes=Southern end of National Route 454 concurrency

}}

{{JPNint

|km=649.8

|road=Aomori Prefecture Route 15 – Gonohe Town Office, Shingō

|notes=Interchange

}}

{{JPNint

|km=651.2

|type=concur

|road={{jct|country=JPN|Route|454|dir1=west}} – Hachinohe

|notes=Interchange; northern end of National Route 454 concurrency

}}

{{JPNint

|km=652.6

|road=Aomori Prefecture Route 113 north – Gonohe

|notes=Interchange

}}

{{JPNint

|km=653.1

|road=Aomori Prefecture Route 168 west – Kirida

|notes=

}}

{{JPNint

|location_special=Towada

|lspan=6

|km=655.9

|road=Aomori Prefecture Route 212 north – Rokunohe

|notes=

}}

{{JPNint

|km=662.6

|type=concur

|road={{jct|country=JPN|Route|45|dir1=south}} – Kuji, Hachinohe
{{jct|country=JPN|Route|102|dir1=west}} – Lake Towada, Central Towada

|notes=Southern end of National Route 45 concurrency

}}

{{JPNint

|km=665.4

|road=File:JP Expressway E4A.svg Aomori Prefecture Route 10 (Misawa Kaidō) – to Daini-Michinoku Toll Road, Central Towada, Misawa

|notes=One-quadrant interchange

}}

{{JPNint

|km=667.0

|road=Aomori Prefecture Route 165 – Central Towada, Tōhoku

|notes=

}}

{{JPNint

|km=669.7

|road=Aomori Prefecture Route 10 east – Central Towada

|notes=

}}

{{JPNint

|km=671.4

|road=Aomori Prefecture Route 169 east – Tachizaki

|notes=

}}

{{JPNint

|location_special=Shichinohe

|lspan=4

|km=675.8

|road=Aomori Prefecture Route 22 – Central Shichinohe, Lake Ogawara, Misawa

|notes=

}}

{{JPNint

|km=677.0

|road={{jct|country=JPN|Route|394}} – Yachi, Kuroishi, Rokkasho, Tōhoku

|notes=

}}

{{JPNint

|km=680.1

|road=Aomori Prefecture Route 173 north – Tōhoku

|notes=

}}

{{JPNint

|km=686.3

|road=File:JP Expressway E4A.svg Aomori Prefecture Route 242 west – to Michinoku Toll Road, Aomori

|notes=

}}

{{JPNint

|location_special=Tōhoku

|lspan=2

|km=692.2

|road=Aomori Prefecture Route 8 south – Misawa

|notes=

}}

{{JPNint

|km=693.6

|road=File:Japanese National Route Sign 0279.svg Shimokita Expressway north – Mutsu

|notes=Noheji Interchange

}}

{{JPNint

|location_special=Noheji

|lspan=2

|km=694.2

|road={{jct|country=JPN|Route|279|dir1=north}} – Mutsu

|notes=

}}

{{JPNint

|km=699.3

|road=Aomori Prefecture Route 243 east – Mutsu, Noheji

|notes=

}}

{{JPNint

|location_special=Hiranai

|lspan=6

|km=707.5

|road=Aomori Prefecture Route 123 west – Mutsu

|notes=

}}

{{JPNint

|km=711.0

|road=Aomori Prefecture Route 9 west (Natsudomari Scallop Line) – Natsudomari Peninsula

|notes=

}}

{{JPNint

|km=713.2

|road=Aomori Prefecture Route 215 north – Hiranai Town Office, Kominato Station

|notes=

}}

{{JPNint

|km=717.1

|road=Aomori Prefecture Route 207 north – Nishi-Hiranai Station

|notes=

}}

{{JPNint

|km=718.9

|type=concur

|road=Aomori Prefecture Route 9 east (Natsudomari Scallop Line) – Natsudomari Peninsula

|notes=Southern end of Aomori Prefecture Route 9 concurrency

}}

{{JPNint

|km=720.0

|type=concur

|road=Aomori Prefecture Route 9 west (Ōshū Kaidō)

|notes=Northern end of Aomori Prefecture Route 9 concurrency

}}

{{JPNint

|location_special=Aomori

|lspan=9

|km=724.3

|road=Aomori Prefecture Route 269 east

|notes=

}}

{{JPNint

|km=725.8

|road=Aomori Prefecture Route 259 west – Nonai

|notes=

}}

{{JPNint

|km=729.7

|road=File:JP Expressway E4A.svg Aomori Prefecture Route 44 – to Aomori Expressway, Michinoku Toll Road, Nonai

|notes=

}}

{{JPNint

|km=732.1

|road=File:JP Expressway E4A.svg{{jct|country=JPN|Route|7|name1=Aomori Belt Highway|dir1=south}} – to Aomori Expressway, Hirosaki, Fujisaki

|notes=

}}

{{JPNint

|km=733.8

|road=Aomori Prefecture Route 259 east – Nonai, Aomori Prefectural Hospital

|notes=

}}

{{JPNint

|km=736.7

|road={{jct|country=MEX|extra=airport}} Aomori Prefecture Route 27 west – Aomori Airport

|notes=

}}

{{JPNint

|km=737.7

|road=File:JP Expressway E4A.svg{{jct|country=JPN|Route|103|dir1=south|name1=Kanko-dōri}} – to Aomori Expressway, Lake Towada

|notes=

}}

{{JPNint

|km=738.1

|type=concur

|road={{jct|country=MEX|extra=airport}}{{hair space}}File:JP Expressway E4A.svg Aomori Prefecture Route 120 south – to Aomori Airport, Aomori Expressway, Lake Towada
Aomori Prefecture Route 16 west – Aomori Station, Aomori Port

|notes=Southern end of Aomori Prefecture Route 120 concurrency

}}

{{JPNint

|km=738.5

|type=trans

|road={{jct|country=JPN|Route|7|Route|101|Route|280|dir1=south|dir2=south|dir3=north}} / Aomori Prefecture Route 120 north Aomori West Bypass

|notes=Northern terminus; northern end of concurrency with National Route 45 and Aomori Prefecture Route 120

}}

{{Jctbtm|keys=concur,incomplete,trans|col=8}}

• Edo Five Routes, the five centrally administered routes, or kaidō, that connected the capital of Japan at Edo (now Tokyo) with the outer provinces during the Edo period.
• Tōhoku Expressway, an expressway managed by the East Nippon Expressway Company that parallels Route 4 from Tokyo to Aomori.

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• {{Commons category-inline|Route 4 (Japan)}}

{{National Routes of Japan|4}}

004

Category:Roads in Aomori Prefecture

Category:Roads in Fukushima Prefecture

Category:Roads in Ibaraki Prefecture

Category:Roads in Iwate Prefecture

Category:Roads in Miyagi Prefecture

Category:Roads in Saitama Prefecture

Category:Roads in Tochigi Prefecture

Category:Roads in Tokyo

Category:1952 establishments in Japan