Advanced Family Medicine


Call (425)453-6838

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Nutritional Health for a Lifetime

At AFM, we use our advanced knowledge of medicine, nutrition, and dietetics to provide comprehensive nutritional guidance for patients with a variety of concerns. You will receive dietary advice and guidance that adapts to your changing nutritional needs. As with every other area of our expertise, we are committed to not only addressing nutrition and health problems as they occur but preventing future complications with a holistic approach for a lifetime of good health.

Adult Weight Loss

Some patients find that maintaining a healthy weight becomes increasingly difficult as they age. We’ll develop a nutrition strategy that helps you achieve your ideal weight through a combination of healthy eating, regular exercise and preventive care. - See more at:

Pediatric Nutrition

Giving children the right foods and encouraging them to exercise can be a challenge in an age of conflicting and sometimes confusing research and changing recommendations from governments and community organizations. We have the knowledge and experience to answer all the questions you may have about your child’s nutritional health and can develop a healthy eating plan that works for your entire family.

Specialized Nutrition

We specialize in treating patients with complex issues like:

  • Diabetes
  • Obesity
  • High cholesterol and high blood pressure
  • Celiac disease
  • Food sensitivities and allergies

Mariya Shurnene, RD, CN

Mariya’s passion for nutrition and diabetes education has guided both her education and professional work. She finds fulfillment in helping patients achieve their diet and weight-loss goals and maintain a healthy nutrition program for the rest of their lives.


Mariya Shurnene, MS, RD, CN, received her Master of Science in Nutrition at Bastyr University, where she also completed her dietetic internship. Mariya is a Registered Dietitian and Certified Nutritionist, a member of the American Dietetic Association, American Diabetes Association, and American Association of Diabetes Educators.

Memberships, Awards & Certifications

Master of Science in Nutrition, Registered Dietitian, Certified Nutritionist. Adult Weight Management Certification. Certified FLT Lifestyle Educator. Certified Instructor for diabetes self-management.

Ofra Duchin, PhD, MPH, CN, RPh

Ofra’s multidisciplinary education includes pharmacy, environmental health, and nutrition. She has extensive work experience in academic, governmental, and private sectors. Her background allowed her to follow her passion in supporting her patients’ search for efficient and sustainable ways to better their lives, reach their weight goals, and improve their overall health.


Ofra Duchin, PhD, MPH, CN, RPh, graduated from the Hebrew University in Jerusalem with a Bachelor’s degree in pharmacy in 2002. She has moved to the United States in 2003, where she became a Registered Pharmacist in California, Michigan and the state of Washington. She holds a Master of Public health in Human Nutrition (2011), and a Doctorate in Environmental Health Sciences (2012) from the University of Michigan School of Public Health. She relocated to Washington with her family in 2013, where she became a Certified Nutritionist and helped patients of all ages meet their nutritional and weight loss goals in her private practice in Bellevue.

Memberships, Awards & Certifications

Doctor of Philosophy in Environmental Health Sciences. Master of Public Health in Human Nutrition. Certified Nutritionist. Registered Pharmacist. Member of the Academy of Nutrition and Dietetics.

2007 152 Ave NE,
Redmond, WA 98052
Map & Driving Directions

Phone: 425.453-6838

Mon to Fri: 7:30am to 5:30pm


"I've been a patient of Advanced Family Medicine clinic for over 12 years. All my family members are clients of this clinic as well. All the physicians of AFM really care for us and always ready to help. Over the years, I have been in numerous situations when my family members and I were in need of wise doctor's advice, and every time I was happy with the results. I would recommend this clinic to everyone, it is very important to have a doctor you can completely trust!"

— Tamara Andrianova

"Dr. Vaiman is very thorough, knowledgeable and understanding. Despite of her very busy schedule she is always available to address all my questions and concerns. The clinic staff is also very friendly and professional."

-- Leonid Volchek

"I have been patient of Dr. Grinberg for the past ten years. He is very experienced, knowledgeable and caring physician. I feel lucky to have Dr. Grinberg as my Primary Care Doctor."

-- Oleg Vysotsky