Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Perry Jake Proctor, DO

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1184287849

Perry Jake Proctor, DO is a Family Practice in Kalispell, Montana. Qualified in 2019, 7 years ago. Practices with Confederated Salish and Kootenai Tribes of the Flathead Reservation, a 23-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Montana.

Years since qualifying
7
Licensed in
MT
In the registry since
2019
Specialties on file
2
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

245 Windward Way Ste 101
Kalispell, MT 59901-3385
Phone: (406) 756-8488
Fax: (406) 758-3234
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1400 E Downing St, Tahlequah, Ok 74464, Tahlequah, OK 74464 — (918) 458-2406

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence MED-PHYS-LIC-110556 (MT)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1184287849
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorYes
NPI enumeratedApril 18, 2019
Last updated in NPPESFebruary 19, 2024
Certification dateFebruary 19, 2024
Mailing address19600 E Ross St, Tahlequah, OK 74464-0545

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Confederated Salish And Kootenai Tribes Of The Flathead Reservation — 23 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

Other providers in Kalispell