An expansion completed in 2023 added nearly 200 additional hotel rooms and suites to the property, bringing the total hotel rooms to 440+ via two distinct towers. The new hotel, River Tower, is located west of, but adjacent to, the current hotel, Canoe Tower, and connected via skywalk. It is the largest casino resort in the entire Northwest, including Seattle. Northern Quest Resort & Casino is located at 100 North Hayford Road, in Airway Heights, Washington about 6 miles from Spokane.