PSH 6 was first established in 1915 as State Road 23 (SR 23) on a
Spokane–
Tiger route, which would be extended to the Canada–US border in 1921. In 1923, the road became SR 6 and was co-signed with
U.S. Route 195 (US 195) from Spokane to
Newport in 1926 during the creation of the
U.S. routes. During the creation of the
Primary and secondary state highways in 1937, SR 6 became PSH 6 and two secondary highways along with a short branch were created. A roadway extending from
Colville () to Tiger (PSH 6) became (SSH 6A), a short bypass of Newport became and a short connector to US 195 in
Idaho within Newport became the branch. In 1946, was also co-signed onto the highway, replacing , which had used the same route before 1946. was later extended over SR 294 and SR 31 between Newport and Tiger in 1973; SR 311 was renumbered to in 1975. ==Branch==