From North Bend, WA take I-90 east and take exit #34. Drive north on 468th Avenue. In 0.6 miles, turn right onto SE Middle Fork Road (Forest Service Road #56). The large and well-marked Middle Fork trailhead parking lot is on the right side of the road at 11.5 miles. The south end of the lot is intended for stock users; hiker access is from the north end of the lot, directly ahead when entering the lot.