Entering Penns Valley , Elk Creek passes through the borough of Millheim .
Entering Penns Valley , Elk Creek continues south - southeast to its mouth at Pine Creek , just upstream from that creek 's end at Penns Creek in Coburn .
Entering Penns Valley , Elk Creek passes through the borough of Millheim and continues south - southeast to its mouth at Pine Creek , just upstream from that creek 's end at Penns Creek in Coburn .